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Home/Diagnosis/ICD-10 Coding for Lip Tie

ICD-10 Coding for Lip Tie

Q38.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for lip tie includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Labial Frenulum Anomalies
Upper Lip Tie
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Key Information: ICD-10 Coding for Lip Tie

Essential facts and insights about ICD-10 Coding for Lip Tie

Use ICD-10 code Q38.0 for congenital malformations of lips, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Congenital malformations of lips, not elsewhere classified

Billable Code
Q38.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of functional impairment due to lip tie
documentation:
  • • Detailed description of frenulum insertion and associated symptoms

Applicable To

  • • Aberrant insertion of labial frenulum
  • • Enlarged labial frenum

Important Notes

  • • Ensure documentation specifies the frenulum's impact on feeding or other functions.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z63.1

Problems in relationship with spouse or partner

Use when breastfeeding difficulties are documented, such as mother-infant dyad struggling due to poor latch.

R63.3

Feeding difficulties

Required if poor weight gain or failure to thrive accompanies lip tie.

Frequently Asked Questions

What is the ICD-10 code for lip tie?

The ICD-10 code for lip tie is Q38.0, which covers congenital malformations of lips, including aberrant insertion of the labial frenulum.

How is lip tie documented for coding?

Documentation should include frenulum insertion site, functional impacts like feeding difficulties, and use specific classification systems.

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