Q37.1

Cleft hard palate with unilateral cleft lip

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q35–Q37 Cleft lip and cleft palate

BillableComplete code, valid to report

Q37.1 (also written Q371) is a billable ICD-10-CM diagnosis code for cleft hard palate with unilateral cleft lip. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 8 codes in category Q37 (Cleft palate with cleft lip). The Alphabetic Index lists it under 2 entries. Its coding notes include a Use additional code instruction and 2 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

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Q35–Q37 Cleft lip and cleft palate
  • code to identify associated malformation of the nose (Q30.2)

Excludes2

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

Also from chapter/block level (2 notes)
Inherited from Q35–Q37 Cleft lip and cleft palate
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from Q37 Cleft palate with cleft lip
  • cheilopalatoschisis

Inclusion terms

Conditions classified to this code.

This code
  • Cleft hard palate with cleft lip NOS

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. 2 entries