Q38.0
Billable codeCongenital malformations of lips, not elsewhere classified
The ICD-10 code for congenital malformations of lips, not elsewhere classified is Q38.0.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Congenital fistula of lip
- Congenital malformation of lip NOS
- Van der Woude's syndrome
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- Q38.1Ankyloglossia
- Q38.2Macroglossia
- Q38.3Other congenital malformations of tongue
- Q38.4Congenital malformations of salivary glands and ducts
- Q38.5Congenital malformations of palate, not elsewhere classified
- Q38.6Other congenital malformations of mouth
- Q38.7Congenital pharyngeal pouch
- Q38.8Other congenital malformations of pharynx
- Q38.0Congenital malformations of lips, not elsewhere classified
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 75025Approximate match
Associated MS-DRGs
Q38.0 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
- DRG 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
- DRG 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
- DRG 157Dental and Oral Diseases with MCC
- DRG 158Dental and Oral Diseases with CC
- DRG 159Dental and Oral Diseases without CC/MCC