P26
P26 — Pulmonary hemorrhage originating in the perinatal period
Non-billable headerICD-10-CM
P26 is a non-billable header ICD-10-CM code for pulmonary hemorrhage originating in the perinatal period. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- acute idiopathic hemorrhage in infants over 28 days old (R04.81)
Other codes that can never be billed with P26
These codes carry an Excludes1 note pointing at P26. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P26 alone.
Risk adjustment
P26 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead P26
4 child codes. Green means billable.
Questions about P26
- Is P26 a billable ICD-10-CM code?
- No. P26 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P26 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).
- What cannot be coded together with P26?
- P26 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.