ICD-10-CM Code Q37.3
Cleft soft palate with unilateral cleft lip
Billable CodeBillable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt CodeThe Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
Q37.3 is a billable ICD code used to specify a diagnosis of cleft soft palate with unilateral cleft lip. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
|Indicator||Meaning||CMS Will Pay CC/MCC DRG Costs|
|Y||Diagnosis was present at time of inpatient admission||Yes|
|N||Diagnosis was not present at time of inpatient admission||No|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||No|
|W||Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.||Yes|
|1||Exempt from POA reporting||No|
The ICD code Q37 is used to code Cleft lip and palate
Cleft lip and cleft palate, also known as orofacial cleft and cleft lip and palate, is a group of conditions that includes cleft lip (CL), cleft palate (CP), and both together (CLP). A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate is when the roof of the mouth contains an opening into the nose. These disorders can result in feeding problems, speech problems, hearing problems, and frequent ear infections. Less than half the time the condition is associated with other disorders.
|ICD 9 Code:||749|
Child with cleft lip and palate.
Coding Notes for Q37.3 Info for medical coders on how to properly use this ICD-10 code
Inclusion TermsInclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
- Cleft soft palate with cleft lip NOS
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with CC.
- DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses without CC or MCC.
- DRG Group #157-159 - Dental and oral diseases with MCC.
- DRG Group #157-159 - Dental and oral diseases with CC.
- DRG Group #157-159 - Dental and oral diseases without CC or MCC.
Coding Advice SNOMET-CT
- Possible requirement for additional code to fully describe disease or condition
ICD-10-CM Alphabetical Index References for 'Q37.3 - Cleft soft palate with unilateral cleft lip'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q37.3. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q37.3 and a single ICD9 code, 749.22 is an approximate match for comparison and conversion purposes.