Q38.5 – Congenital malformations of palate, not elsewhere classified

ICD-10-CM 2027 diagnosis code · Other congenital malformations of the digestive system

Billable code

ICD-10-CM code Q38.5
Code
Q38.5 (claims format: Q385)
Description
Congenital malformations of palate, not elsewhere classified
Billable
Yes – valid for HIPAA-covered transactions
Valid for
Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter
17. Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1)
Block
Q38-Q45 Other congenital malformations of the digestive system
Parent codes
Q38

Notes for Q38.5

Applicable to:
  • 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.-)

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

Q38 – Other congenital malformations of tongue, mouth and pharynx

Excludes1 (not coded here):
  • dentofacial anomalies (M26.-)
  • macrostomia (Q18.4)
  • microstomia (Q18.5)

Index terms for Q38.5

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in Q38

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, in the block Q38-Q45 (Other congenital malformations of the digestive system).

Is Q38.5 a billable code?

Yes. Q38.5 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does Q38.5 belong to?

It belongs to category Q38 – Other congenital malformations of tongue, mouth and pharynx.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.