2022 ICD-10-CM Diagnosis Code Q37. 4: Cleft hard and soft palate with bilateral cleft lip.
Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly during pregnancy. Together, these birth defects commonly are called “orofacial clefts”.Dec 28, 2020
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
The ICD-10 code for “bilateral cleft lip and palate” is Q37. 8 (Unspecified cleft palate with cleft lip, bilateral).
Most cases of cleft lip and cleft palate are noticed right away at birth and don't require special tests for diagnosis. Increasingly, cleft lip and cleft palate are seen on ultrasound before the baby is born.
The primary palate is the triangular area of the hard palate anterior to the incisive foramen and includes a portion of the alveolar ridge. The secondary palate consists of the remaining hard palate and all of the soft palate.
If the cleft lip affects both sides and is repaired in a single surgery, report 40701 Plastic repair of cleft lip/nasal deformity; primary bilateral 1-stage procedure.Jul 6, 2017
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.
An alveolar cleft is the cleft in the gum line that runs through the arch where the teeth are aligned. Alveolar cleft repair often requires orthodontic preparation to bring the alveolar (gum) segments into good alignment and create space for permanent teeth to erupt.
Furlow Palatoplasty (Double-Reversing Z-Plasty) This procedure involves a plastic surgical technique, which was traditional used for cleft palates, to lengthen and thicken the soft palate and realign abnormal placement of the palatal muscles in order to allow the palate touch the back of throat naturally.
CPT® 42950, Under Repair Procedures on the Pharynx, Adenoids, and Tonsils.
Cleft lip and cleft palate are birth defects that affect the upper lip and roof of the mouth. They happen when the tissue that forms the roof of the mouth and upper lip don't join before birth. The problem can range from a small notch in the lip to a groove that runs into the roof of the mouth and nose. This can affect the way the child's face ...
Treatment usually is surgery to close the lip and palate. Doctors often do this surgery in several stages. Usually the first surgery is during the baby's first year. With treatment, most children with cleft lip or palate do well. Codes. Q37 Cleft palate with cleft lip.