Coding and coverage · ICD-10-CM
Instructional notes
Chapter 17
Excludes2Not included here: the patient may have both; report both when both are present.
Notes
- Codes from this chapter are not for use on maternal records
Section Q10-Q18
Excludes2Not included here: the patient may have both; report both when both are present.
- cleft lip and cleft palate (Q35-Q37)
- congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
- congenital malformation of larynx (Q31.-)
- congenital malformation of lip NEC (Q38.0)
- congenital malformation of nose (Q30.-)
- congenital malformation of parathyroid gland (Q89.2)
- congenital malformation of thyroid gland (Q89.2)
Q18
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
This code
Inclusion terms
- Hypertrophy of lip, congenital
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1) · Q10-Q18 Congenital malformations of eye, ear, face and neck (Q10-Q18)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.