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Q38.0

Billable

Congenital malformations of lips, not elsewhere classified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Birth defects of the lips that are not classified elsewhere, such as abnormal lip shape, size, or structure.

Coding Tips

  • •This code is for lip malformations not involving cleft palate; use Q37 codes for cleft lip/palate
  • •Document the specific nature of the lip malformation when possible

Excludes 1 — Do NOT code together

  • cleft lip (Q36.-)
  • cleft lip with cleft palate (Q37.-)
  • macrocheilia (Q18.6)
  • microcheilia (Q18.7)

Code Hierarchy

└Q38Other congenital malformations of tongue, mouth and pharynx└Q38.0Congenital malformations of lips, not elsewhere classified
└Q38.0Congenital malformations of lips, not elsewhere classified

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