ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q38.2

Billable / Specific

Macroglossia

Q38
Block
1
Synonyms
126
LCDs
5
Payer Policies
15
Linked CPTs

About ICD-10-CM Q38.2

ICD-10-CM code Q38.2 represents Macroglossia. This is a billable/specific code in the Congenital Malformations chapter (block Q38). The 2026 edition of ICD-10-CM Q38.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q38.2. Per CMS ICD-10-CM Tabular 2026.

  • Congenital hypertrophy of tongue

Medicare LCD Coverage for Q38.2

Local Coverage Determinations (LCDs) from CMS MACs that list Q38.2 as a covered diagnosis.

126 LCDs

Showing top 10 of 126 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q38.2.

5 policies

1 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551

4 Medicare

Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868
Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA)
Policy ID: ART-56905

CPT Codes Commonly Billed with Q38.2

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

15 linkages
  • C9727 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 41512 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 21110 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 42145 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 21196 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 30802 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 41530 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 21145 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 30140 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD
  • 42299 CMS LCD: Billing and Coding: Surgical Treatment of Obstructive Sleep Apnea (OSA) CMS LCD

Convert Q38.2 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q38.2 75015 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q38.2, Billing FAQ

Is ICD-10 code Q38.2 billable? +

Yes, Q38.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Q38.2? +

ICD-10 Q38.2 includes: Congenital hypertrophy of tongue.

What CPT codes are commonly billed with Q38.2? +

Procedures frequently paired with Q38.2 include: C9727, 41512, 21110, 42145, 21196.

What ICD-9 codes does Q38.2 map to? +

Per CMS GEMs, Q38.2 maps to ICD-9 codes: 75015. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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