ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ35.7

Q35.7

Billable

Cleft uvula

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q35.7 is a billable code used to indicate a diagnosis of cleft uvula.

Key Diagnostic Point:

Cleft uvula is a congenital malformation characterized by a split or cleft in the uvula, the small, fleshy extension at the back of the throat. This condition can occur in isolation or as part of a more complex syndrome, such as cleft palate or other craniofacial anomalies. The cleft may vary in size and can lead to difficulties in feeding, speech, and increased risk of ear infections due to improper closure of the nasopharynx. In some cases, it may be associated with other congenital malformations of the respiratory system, such as choanal atresia, where the nasal passage is blocked, or tracheoesophageal fistula, where there is an abnormal connection between the trachea and esophagus. Lung hypoplasia, a condition where the lungs are underdeveloped, can also be a concern in infants with significant congenital anomalies. Early diagnosis and intervention are crucial for managing these conditions, often requiring a multidisciplinary approach involving pediatricians, otolaryngologists, and speech therapists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated conditions
  • Need for comprehensive documentation of associated anomalies
  • Potential for co-occurring syndromes requiring additional codes
  • Variations in treatment protocols and follow-up care

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to capture all relevant codes for co-occurring conditions
  • Misinterpretation of clinical findings leading to incorrect coding
  • Lack of clarity in the treatment plan and follow-up care

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on the infant's feeding difficulties, speech development, and any associated respiratory issues.

Common Clinical Scenarios

Infants presenting with cleft uvula during routine examinations, referrals for speech therapy, or surgical interventions.

Billing Considerations

Consideration of the infant's overall health and any additional congenital anomalies that may impact treatment.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling sessions for families with a history of cleft conditions or syndromes associated with cleft uvula.

Billing Considerations

Understanding the genetic implications and potential for recurrence in future pregnancies.

Coding Guidelines

Inclusion Criteria

Use Q35.7 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of all associated conditions and any necessary modifiers

Exclusion Criteria

Do NOT use Q35.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

42145CPT Code

Uvula repair

Clinical Scenario

Performed in cases of cleft uvula to restore normal anatomy.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Pediatric otolaryngology may have specific protocols for uvula repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes for cleft uvula and associated anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes for cleft uvula and associated anomalies.

Reimbursement & Billing Impact

reimbursement processes for cleft uvula and associated anomalies.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Cleft Lip and Palate

Coding & Billing References

  • •
    American Academy of Pediatrics - Cleft Lip and Palate

Frequently Asked Questions

What is the significance of coding cleft uvula accurately?

Accurate coding of cleft uvula is crucial for appropriate reimbursement, tracking of congenital conditions, and ensuring that patients receive the necessary multidisciplinary care. It also aids in research and understanding the prevalence and outcomes of congenital anomalies.