P36
P36 — Bacterial sepsis of newborn
Non-billable headerICD-10-CM
P36 is a non-billable header ICD-10-CM code for bacterial sepsis of newborn. It cannot be billed on its own: choose one of the more specific child codes below.
Use additional code
Add a secondary code to capture the detail described below.
- code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)
Includes
Conditions this code covers.
- congenital sepsis
Other codes that can never be billed with P36
These codes carry an Excludes1 note pointing at P36. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P36 alone.
Risk adjustment
P36 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 P36
8 child codes. Green means billable.
- P36.0Sepsis of newborn due to streptococcus, group B
- P36.1Sepsis of newborn due to other and unspecified streptococci
- P36.2Sepsis of newborn due to Staphylococcus aureus
- P36.3Sepsis of newborn due to other and unspecified staphylococci
- P36.4Sepsis of newborn due to Escherichia coli
- P36.5Sepsis of newborn due to anaerobes
- P36.8Other bacterial sepsis of newborn
- P36.9Bacterial sepsis of newborn, unspecified
Questions about P36
- Is P36 a billable ICD-10-CM code?
- No. P36 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P36 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Infections specific to the perinatal period (P35-P39).