Chapter 16: Certain conditions originating in the perinatal period
P00-P96
Chapter 16 of the ICD-10-CM tabular list covers certain conditions originating in the perinatal period, codes P00-P96. It holds 565 codes across 12 blocks, of which 463 are billable and 102 are header codes that cannot go on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Includes
Conditions this code covers.
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Notes
Additional guidance from the ICD-10-CM tabular list.
- Codes from this chapter are for use on newborn records only, never on maternal records
Risk adjustment in Chapter 16
110 of this chapter’s codes map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded to the level the record supports.
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
- HCC 248 Intracranial Hemorrhage
- HCC 213 Cardio-Respiratory Failure and Shock
- HCC 202 Coma, Brain Compression/Anoxic Damage
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
Blocks in this chapter
- P00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery84 codes
- P05-P08Disorders of newborn related to length of gestation and fetal growth63 codes
- P09Abnormal findings on neonatal screening9 codes
- P10-P15Birth trauma51 codes
- P19-P29Respiratory and cardiovascular disorders specific to the perinatal period91 codes
- P35-P39Infections specific to the perinatal period41 codes
- P50-P61Hemorrhagic and hematological disorders of newborn81 codes
- P70-P74Transitory endocrine and metabolic disorders specific to newborn41 codes
- P76-P78Digestive system disorders of newborn23 codes
- P80-P83Conditions involving the integument and temperature regulation of newborn22 codes
- P84Other problems with newborn1 code
- P90-P96Other disorders originating in the perinatal period58 codes