ICDcodes.org
FY2027

Q38.7 — Congenital pharyngeal pouch

Billable

Is Q38.7 billable?

Yes — Q38.7 is billable for FY2027. Q38.7 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q38.7 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Q38.7 at a glance

CodeQ38.7
DescriptionCongenital pharyngeal pouch
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does Q38.7 group to?

Q38.7 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 Q38.7 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Q38.7. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Diverticulum, diverticula › pharynx (multiple)
  • Pouch › pharynx, pharyngeal

Excludes1 — never code together

The conditions below can never be reported together with Q38.7 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • pharyngeal pouch syndrome (D82.1)

Inclusion terms

Alternative wording in documentation that is classified to Q38.7.

  • Congenital diverticulum of pharynx

Excludes1 — never code together — inherited from Q38

The conditions below can never be reported together with Q38.7 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Excludes2 — not included here — inherited from Chapter 17

The conditions below are not part of Q38.7, but a patient may have both at the same time. When documentation supports it, Q38.7 and the excluded code may both be reported.

  • inborn errors of metabolism (E70-E88)

How long has Q38.7 existed?

Q38.7 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.

Which codes are confused with Q38.7?

ICD-10-CM declares these codes mutually exclusive with Q38.7 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to Q38.7?

What other codes are in the Q38 family? (8)