2025 ICD-10-CM code Q35.1
(Valid) Effective Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Cleft lip and cleft palate XVII Feed
Cleft hard palate.
Medical necessity for treatment is determined by the severity of the cleft and its impact on feeding, speech, and hearing.
In simple words: A birth defect where the roof of the mouth doesn't fully close, leaving a gap in the hard palate.
A congenital fissure in the midline of the hard palate resulting from the failure of the two sides of the palate to fuse during embryonic development.
Example 1: A newborn is examined and found to have a cleft involving only the hard palate., A 2-year-old child presents with difficulties in speech and eating due to a previously diagnosed cleft hard palate., A fetus is diagnosed with a cleft hard palate during a prenatal ultrasound.
Documentation should specify the extent of the cleft and whether it involves the hard palate only or extends to the soft palate.
** Excludes1: cleft palate with cleft lip (Q37.-)Excludes2: Robin's syndrome (Q87.0)
- Specialties:Pediatrics, Plastic Surgery, Oral Surgery, Genetics