Q38.5

Billable

Congenital malformations of palate, not elsewhere classified

Q38.5 is the ICD-10-CM code for Congenital malformations of palate, not elsewhere classified. It is a billable, specific code valid for reimbursement.

Status
Billable
Chapter
Q00-Q99
Parent
Q38
Edition
FY2026

Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities

What this means — in plain language

MedlinePlus · NIH

What are birth defects? A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect. A birth defect may affect how the body looks, works, or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to…

Read more about Birth Defects at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

Includes

  • Congenital absence of uvula
  • Congenital malformation of palate NOS
  • Congenital high arched palate

Excludes1 — not coded here

  • cleft palate (Q35.-)
  • cleft palate with cleft lip (Q37.-)

Frequently asked questions

What is ICD-10 code Q38.5?
Q38.5 is the ICD-10-CM code for "Congenital malformations of palate, not elsewhere classified". It falls under Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities.
Is Q38.5 a billable code?
Yes — Q38.5 is a billable, specific ICD-10-CM code valid for reimbursement.
What is excluded from Q38.5?
Excludes1 (not coded here): cleft palate (Q35.-); cleft palate with cleft lip (Q37.-).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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