Coding and coverage · ICD-10-CM

Q38 Other congenital malformations of tongue, mouth and pharynx

Not billable (header)Chapter 17

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

  • Q38.0 Congenital malformations of lips, not elsewhere classified
  • Q38.1 Ankyloglossia
  • Q38.2 Macroglossia
  • Q38.3 Other congenital malformations of tongue
  • Q38.4 Congenital malformations of salivary glands and ducts
  • Q38.5 Congenital malformations of palate, not elsewhere classified
  • Q38.6 Other congenital malformations of mouth
  • Q38.7 Congenital pharyngeal pouch
  • Q38.8 Other congenital malformations of pharynx

Instructional notes

Chapter 17

Excludes2Not included here: the patient may have both; report both when both are present.
  • inborn errors of metabolism (E70-E88)
Notes
  • Codes from this chapter are not for use on maternal records

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1) · Q38-Q45 Other congenital malformations of the digestive system (Q38-Q45)

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.