Q37.42022 ICD-10-CM Diagnosis Code Q37. 4: Cleft hard and soft palate with bilateral cleft lip.
A simple repair of a cleft palate with elevation of the adjacent mucosa to close the defect is coded 42200 Palatoplasty for cleft palate, soft and/or hard palate only. If the cleft extends through the aveolar ridge, report 42205 Palatoplasty for cleft palate, with closure of aveolar ridge; soft tissue only.Dec 1, 2014
A cleft palate is an opening or split in the roof of the mouth that occurs when the tissue doesn't fuse together during development in the womb. A cleft palate often includes a split (cleft) in the upper lip (cleft lip) but can occur without affecting the lip.
Cleft lip may be detected with ultrasound beginning around the 13th week of pregnancy. As the fetus continues developing, it may be easier to accurately diagnose a cleft lip. Cleft palate that occurs alone is more difficult to see using ultrasound.
Code 40701 is reported when the repair is done in one stage. Report 40702 when documentation indicates that one stage of a two stage repair is performed. Typically, the cleft lip is repaired first and nasal deformities are repaired in a second surgical session.
A parenthetical note instructs, “To report rhinoplasty only for nasal deformity secondary to congenital cleft lip, see 30460 [Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only], 30462 [Rhinoplasty for nasal deformity secondary to congenital cleft ...Jul 6, 2017
Cleft lip is a birth defect in which a baby's upper lip doesn't form completely and has an opening in it. Cleft palate is a birth defect in which a baby's palate (roof of the mouth) doesn't form completely and has an opening in it. These birth defects are called oral clefts or orofacial clefts.
A cleft lip is an opening in the upper lip; a cleft palate is an opening in the roof of the mouth. In both cases, an opening forms because the facial structure doesn't close completely during development. A child can be born with one or both of these conditions.
A bilateral cleft lip may appear as small notches in the edges of the lip only or extend into the nose or gums. A child may be born with just a cleft lip or may have a cleft palate as well, which is a split in the roof of the mouth. Sometimes a cleft occurs as part of a syndrome, meaning there are other birth defects.
A cleft lip is usually picked up during the mid-pregnancy anomaly scan done when you're between 18 and 21 weeks pregnant. Not all cleft lips will be obvious on this scan and it's very difficult to detect a cleft palate on an ultrasound scan.
A cleft is usually treated with surgery. Other treatments, such as speech therapy and dental care, may also be needed. Your child will be cared for by a specialist cleft team at an NHS cleft centre.
What Causes Cleft Palate? During the first 6 to 10 weeks of pregnancy, the bones and skin of a baby's upper jaw, nose, and mouth normally come together (fuse) to form the roof of the mouth and the upper lip. A cleft palate happens when parts of the roof of the mouth do not fuse together completely.
cleft palate with cleft lip ( Q37.-) A congenital abnormality consisting of a fissure in the midline of the hard and/or soft palate; it is the result of the failure of the two sides of the palate to fus e during embryo nic development. Congenital fissure of the soft and/or hard palate, due to faulty fusion.
A congenital abnormality consisting of a fissure in the midline of the hard and/or soft palate; it is the result of the failure of the two sides of the palate to fuse during embryonic development. Congenital fissure of the soft and/or hard palate, due to faulty fusion. Present On Admission. POA Help.