Cleft palate with cleft lip
Chapter 17:Congenital malformations and chromosomal abnormalities
ICD-10 Q37 is a used to indicate a diagnosis of cleft palate with cleft lip.
Cleft palate with cleft lip (ICD-10 code Q37) refers to a congenital condition characterized by an opening in the roof of the mouth (cleft palate) that occurs in conjunction with a split or opening in the upper lip (cleft lip). This condition can vary in severity, affecting the ability to eat, speak, and hear, and often requires a multidisciplinary approach for treatment, including surgical intervention, speech therapy, and dental care. The presence of both cleft lip and palate can lead to additional complications, such as feeding difficulties in infants and social challenges as the child grows, necessitating early diagnosis and intervention to optimize outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Q37 includes cleft palate with cleft lip, which encompasses various presentations of this congenital anomaly, including unilateral and bilateral forms.
Q37 codes should be used when documenting cases of cleft palate accompanied by cleft lip, particularly when surgical intervention or multidisciplinary management is involved.
Documentation should include a clear diagnosis of cleft palate with cleft lip, details of any surgical procedures performed, and notes on any associated complications or treatments provided.