Q11 vs Q37

Q11 (Anophthalmos, microphthalmos and macrophthalmos) compared with Q37 (Cleft palate with cleft lip), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. Q11 carries an Excludes2 note covering Q37: “cleft lip and cleft palate (Q35-Q37)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	Q11Anophthalmos, microphthalmos and macrophthalmos	Q37Cleft palate with cleft lip
Billing status	Non-billable header Report instead: Q11.0, Q11.1, Q11.2, Q11.3	Non-billable header Report instead: Q37.0, Q37.1, Q37.2, Q37.3, Q37.4
Classification	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
Definition	Anophthalmos, microphthalmos and macrophthalmos is a non-billable ICD-10-CM category code (Q11).	Cleft palate with cleft lip is a non-billable ICD-10-CM category code (Q37).
Includes	—	cheilopalatoschisis
Use additional code	—	code to identify associated malformation of the nose (Q30.2)

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources