ICD-10 Q35.1
Billable / SpecificCleft hard palate
About ICD-10-CM Q35.1
ICD-10-CM code Q35.1 represents Cleft hard palate. This is a billable/specific code in the Congenital Malformations chapter (block Q35). The 2026 edition of ICD-10-CM Q35.1 became effective on October 1, 2025.
Medicare LCD Coverage for Q35.1
Local Coverage Determinations (LCDs) from CMS MACs that list Q35.1 as a covered diagnosis.
Showing top 10 of 433 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q35.1.
5 Aetna
5 Medicare
CPT Codes Commonly Billed with Q35.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert Q35.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Q35.1 | 74900 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q35.1
Other codes in section Q35-Q37 (Cleft lip and cleft palate).
ICD-10 Q35.1, Billing FAQ
Is ICD-10 code Q35.1 billable? +
Yes, Q35.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does Q35.1 map to? +
Per CMS GEMs, Q35.1 maps to ICD-9 codes: 74900. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team