Q36

Non-Billable
ChapterQ00–Q99
Rankcategory
Official Description

Cleft lip

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99).

CH17 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • inborn errors of metabolism (E70-E88)

Q35-Q37 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify associated malformation of the nose (Q30.2)

Instructional Notes

Includes
  • cheiloschisis
  • congenital fissure of lip
  • harelip
  • labium leporinum
Excludes1(Not coded here. Use a different code.)
  • cleft lip with cleft palate (Q37.-)

Clinical Hierarchy

BillableHas subcodes
CH17Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q35-Q37Cleft lip and cleft palate (Q35-Q37)
Q36Cleft lipNot billable
Q36.0Cleft lip, bilateralBillable
Q36.1Cleft lip, medianBillable
Q36.9Cleft lip, unilateralBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to Q36:

blockQ35-Q37
Cleft lip and cleft palate (Q35-Q37)
View context instructions
chapterCH17
Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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