ICD-10 · PDGM grouping
Q37 Cleft palate with cleft lip
All 8 codes in the Q37 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
8
Can lead a claim
7
Cannot lead a claim
1
What CMS assigns to Q37
7 of the 8 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 8 is assigned a comorbidity subgroup. 7 of the 8 can lead a claim.
Every code in Q37
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Q37.0 | Cleft hard palate with bilateral cleft lip | Can lead a claim | A | None |
| Q37.1 | Cleft hard palate with unilateral cleft lip | Can lead a claim | A | None |
| Q37.2 | Cleft soft palate with bilateral cleft lip | Can lead a claim | A | None |
| Q37.3 | Cleft soft palate with unilateral cleft lip | Can lead a claim | A | None |
| Q37.4 | Cleft hard and soft palate with bilateral cleft lip | Can lead a claim | A | None |
| Q37.5 | Cleft hard and soft palate with unilateral cleft lip | Can lead a claim | A | None |
| Q37.8 | Unspecified cleft palate with bilateral cleft lip | Can lead a claim | A | None |
| Q37.9 | Unspecified cleft palate with unilateral cleft lip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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