ICD-10-CM Code Q38.6
Other congenital malformations of mouth
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The 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.Q38.6 is a billable ICD code used to specify a diagnosis of other congenital malformations of mouth. 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 Q386 is used to code White sponge nevus
White sponge nevus (WSN, or white sponge naevus, Cannon's disease, hereditary leukokeratosis of mucosa, white sponge nevus of Cannon, familial white folded dysplasia, or oral epithelial nevus), is an autosomal dominant condition of the oral mucosa (the mucous membrane lining of the mouth). It is caused by a mutations in certain genes coding for keratin, which causes a defect in the normal process of keratinization of the mucosa. This results in lesions which are thick, white and velvety on the inside of the cheeks within the mouth. Usually, these lesions are present from birth or develop during childhood. The condition is entirely harmless, and no treatment is required
| Specialty: | Medical Genetics |
| ICD 9 Code: | 750.26 |
Coding Notes for Q38.6 Info for medical coders on how to properly use this ICD-10 code
-
Inclusion Terms:
Inclusion Terms
Inclusion 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. - Congenital malformation of mouth NOS
MS-DRG Mapping
- 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.
Related Concepts SNOMET-CT
- Hypertrichosis with congenital macrogingivae (disorder)
ICD-10-CM Alphabetical Index References for 'Q38.6 - Other congenital malformations of mouth'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q38.6. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code 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 Q38.6 and a single ICD9 code, 750.26 is an approximate match for comparison and conversion purposes.
Parent Code: Q38 - Other congenital malformations of tongue, mouth and pharynx