Version 2024

2024 ICD-10-CM Diagnosis Code Q37

Cleft palate with cleft lip

ICD-10-CM Code:
Q37
ICD-10 Code for:
Cleft palate with cleft lip
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    (Q00-Q99)
    • Cleft lip and cleft palate
      (Q35-Q37)
      • Cleft palate with cleft lip
        (Q37)

Q37 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of cleft palate with cleft lip. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Cleft palate with cleft lip

Non-specific codes like Q37 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for cleft palate with cleft lip:

  • Use Q37.0 for Cleft hard palate with bilateral cleft lip - BILLABLE CODE

  • Use Q37.1 for Cleft hard palate with unilateral cleft lip - BILLABLE CODE

  • Use Q37.2 for Cleft soft palate with bilateral cleft lip - BILLABLE CODE

  • Use Q37.3 for Cleft soft palate with unilateral cleft lip - BILLABLE CODE

  • Use Q37.4 for Cleft hard and soft palate with bilateral cleft lip - BILLABLE CODE

  • Use Q37.5 for Cleft hard and soft palate with unilateral cleft lip - BILLABLE CODE

  • Use Q37.8 for Unspecified cleft palate with bilateral cleft lip - BILLABLE CODE

  • Use Q37.9 for Unspecified cleft palate with unilateral cleft lip - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • cheilopalatoschisis

Patient Education


Cleft Lip and Palate

Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly. They happen early during pregnancy. A baby can have a cleft lip, a cleft palate, or both.

A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This causes an opening in the upper lip. The opening can be a small slit or a large opening that goes through the lip into the nose. It can be on one or both sides of the lip or, rarely, in the middle of the lip.

Children with a cleft lip also can have a cleft palate. The roof of the mouth is called the "palate." With a cleft palate, the tissue that makes up the roof of the mouth does not join correctly. Babies may have both the front and back parts of the palate open, or they may have only one part open.

Children with a cleft lip or a cleft palate often have problems with feeding and talking. They also might have ear infections, hearing loss, and problems with their teeth.

Often, surgery can close the lip and palate. Cleft lip surgery is usually done before age 12 months, and cleft palate surgery is done before 18 months. Many children have other complications. They may need additional surgeries, dental and orthodontic care, and speech therapy as they get older. With treatment, most children with clefts do well and lead a healthy life.

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Cleft Lip and Palate

Cleft lip with or without cleft palate is among the most common of birth defects.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.