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P39.4

P39.4Neonatal skin infection

Billable / specific codeICD-10-CM

P39.4 is a billable, specific ICD-10-CM code for neonatal skin infection. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • pemphigus neonatorum (L00)
  • staphylococcal scalded skin syndrome (L00)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Neonatal pyoderma

Other codes that can never be billed with P39.4

These codes carry an Excludes1 note pointing at P39.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P39.4 alone.

  • P83Other conditions of integument specific to newborn

Risk adjustment

P39.4 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.

How P39.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P39.4.

  • Pyoderma, pyodermianewborn
  • Infection, infected, infectivecongenitalskin
  • Infection, infected, infectivenewbornskin
  • Infection, infected, infectiveskinnewborn

Related codes at this level

Codes that share P39. If P39.4 is not quite right, the correct code is usually one of these.

Questions about P39.4

Is P39.4 a billable ICD-10-CM code?
Yes. P39.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P39.4 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).
What cannot be coded together with P39.4?
P39.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.