ICD-10 · PDGM grouping
Q35-Q37 — Cleft lip and cleft palate
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
16
No clinical group
7
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
9 of the 16 codes in Q35-Q37 group to MMTA - Other. A further 7 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in Q35-Q37
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in Q35-Q37
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Q351 | Cleft hard palate | None | Cannot lead a claim |
| Q353 | Cleft soft palate | None | Cannot lead a claim |
| Q355 | Cleft hard palate with cleft soft palate | None | Cannot lead a claim |
| Q357 | Cleft uvula | None | Cannot lead a claim |
| Q359 | Cleft palate, unspecified | None | Cannot lead a claim |
| Q360 | Cleft lip, bilateral | A | Can lead a claim |
| Q361 | Cleft lip, median | A | Can lead a claim |
| Q369 | Cleft lip, unilateral | None | Cannot lead a claim |
| Q370 | Cleft hard palate with bilateral cleft lip | A | Can lead a claim |
| Q371 | Cleft hard palate with unilateral cleft lip | A | Can lead a claim |
| Q372 | Cleft soft palate with bilateral cleft lip | A | Can lead a claim |
| Q373 | Cleft soft palate with unilateral cleft lip | A | Can lead a claim |
| Q374 | Cleft hard and soft palate with bilateral cleft lip | A | Can lead a claim |
| Q375 | Cleft hard and soft palate with unilateral cleft lip | A | Can lead a claim |
| Q378 | Unspecified cleft palate with bilateral cleft lip | A | Can lead a claim |
| Q379 | Unspecified cleft palate with unilateral cleft lip | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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