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Compare/Q13 vs Q35

Q13 vs Q35

Q13 (Congenital malformations of anterior segment of eye) compared with Q35 (Cleft palate), 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. Q13 carries an Excludes2 note covering Q35: “cleft lip and cleft palate (Q35-Q37)”

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

Side by side

Q13Congenital malformations of anterior segment of eyeQ35Cleft palate
Billing statusNon-billable header

Report instead: Q13.0, Q13.1, Q13.2, Q13.3, Q13.4

Non-billable header

Report instead: Q35.1, Q35.3, Q35.5, Q35.7, Q35.9

ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionCongenital malformations of anterior segment of eye is a non-billable ICD-10-CM category code (Q13).Cleft palate is a non-billable ICD-10-CM category code (Q35).
Includes
fissure of palate
palatoschisis
Use additional code
code to identify associated malformation of the nose (Q30.2)

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