Q35 vs Q87.0
Q35 (Cleft palate) compared with Q87.0 (Congenital malformation syndromes predominantly affecting facial appearance), 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. Q35 carries an Excludes2 note covering Q87.0: “Robin's syndrome (Q87.0)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Q35Cleft palate | Q87.0Congenital malformation syndromes predominantly affecting facial appearance | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Cleft palate is a non-billable ICD-10-CM category code (Q35). | Congenital malformation syndromes predominantly affecting facial appearance is a billable ICD-10-CM diagnosis code (Q87.0). |
| Includes | fissure of palate palatoschisis | Acrocephalopolysyndactyly Acrocephalosyndactyly [Apert] Cryptophthalmos syndrome Cyclopia |
| Use additional code | code to identify associated malformation of the nose (Q30.2) | code(s) to identify all associated manifestations |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources