Q37.1 — Cleft hard palate with unilateral cleft lip

Billable

Is Q37.1 billable?

Yes — Q37.1 is billable for FY2027. Q37.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q37.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Q37.1 at a glance

Code	Q37.1
Description	Cleft hard palate with unilateral cleft lip
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does Q37.1 group to?

Q37.1 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical

How is Q37.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Q37.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

Cleft › lip › with cleft palate › hard (congenital)
Cleft › palate › hard › with › cleft lip (congenital)

Inclusion terms

Alternative wording in documentation that is classified to Q37.1.

Cleft hard palate with cleft lip NOS

Use additional code — inherited from Q35-Q37

Report an additional code alongside Q37.1 to fully describe the condition. Q37.1 is sequenced first.

code to identify associated malformation of the nose (Q30.2)

Excludes2 — not included here — inherited from Chapter 17

The conditions below are not part of Q37.1, but a patient may have both at the same time. When documentation supports it, Q37.1 and the excluded code may both be reported.

inborn errors of metabolism (E70-E88)

Excludes2 — not included here — inherited from Q35-Q37

The conditions below are not part of Q37.1, but a patient may have both at the same time. When documentation supports it, Q37.1 and the excluded code may both be reported.

Robin's syndrome (Q87.0)

How long has Q37.1 existed?

Q37.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.