2025 ICD-10-CM code Q35.5
Cleft hard palate with cleft soft palate.
Medical necessity is established by the presence of the congenital anomaly and its impact on feeding, speech, or other functions.
In simple words: This code represents a birth defect where there's an opening in both the hard and soft parts of the roof of the mouth.
Cleft hard palate with cleft soft palate. Includes: fissure of palate palatoschisis. Excludes1: cleft palate with cleft lip (Q37.-)
Example 1: A newborn is examined and found to have a cleft involving both the hard and soft palate. This condition affects both the front and back parts of the roof of the mouth., An infant presents with difficulty feeding and nasal regurgitation. Upon examination, a cleft is identified in both the hard and soft palate. , A child undergoes a diagnostic evaluation for speech difficulties. The assessment reveals a cleft hard and soft palate as the underlying cause.
Type and location of cleft (hard and soft palate)
- Specialties:Pediatrics, Plastic Surgery, Otolaryngology, Genetics, Speech-Language Pathology
- Place of Service:Inpatient Hospital, Office, Outpatient Hospital