Alphabetic Index FY2027

Q18.0

Sinus, fistula and cyst of branchial cleft

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q10–Q18 Congenital malformations of eye, ear, face and neck

BillableComplete code, valid to report

Q18.0 (also written Q180) is a billable ICD-10-CM diagnosis code for sinus, fistula and cyst of branchial cleft. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category Q18 (Other congenital malformations of face and neck). The Alphabetic Index lists it under 19 entries. Its coding notes include 7 Excludes1 entries and 8 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 17 codes can be used for life. Manifestations that are an inherent part of a specifically coded anomaly are not coded separately. A corrected malformation is reported with a personal history code.

Guidelines I.C.17Congenital malformations and genetic disordersRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from Q18 Other congenital malformations of face and neck
  • cleft lip and cleft palate (Q35-Q37)
  • conditions classified to Q67.0-Q67.4
  • congenital malformations of skull and face bones (Q75.-)
  • cyclopia (Q87.0)
  • dentofacial anomalies [including malocclusion] (M26.-)
  • malformation syndromes affecting facial appearance (Q87.0)
  • persistent thyroglossal duct (Q89.2)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Q10–Q18 Congenital malformations of eye, ear, face and neck
  • cleft lip and cleft palate (Q35-Q37)
  • congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
  • congenital malformation of larynx (Q31.-)
  • congenital malformation of lip NEC (Q38.0)
  • congenital malformation of nose (Q30.-)
  • congenital malformation of parathyroid gland (Q89.2)
  • congenital malformation of thyroid gland (Q89.2)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Inclusion terms

Conditions classified to this code.

This code
  • Branchial vestige

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • Codes from this chapter are not for use on maternal records

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 19 entries

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