P74.0 — Late metabolic acidosis of newborn
P74.0 is a billable, specific ICD-10-CM code for late metabolic acidosis of newborn. 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.
- (fetal) metabolic acidosis of newborn (P19)
Other codes that can never be billed with P74.0
These codes carry an Excludes1 note pointing at P74.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P74.0 alone.
- P84Other problems with newborn
Risk adjustment
P74.0 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 P74.0 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 P74.0.
- Newborn›late metabolic acidosis
- Acidosis›metabolic NEC›late, of newborn
Related codes at this level
Codes that share P74. If P74.0 is not quite right, the correct code is usually one of these.
- P74.1Dehydration of newborn
- P74.2Disturbances of sodium balance of newborn
- P74.3Disturbances of potassium balance of newborn
- P74.4Other transitory electrolyte disturbances of newborn
- P74.5Transitory tyrosinemia of newborn
- P74.6Transitory hyperammonemia of newborn
- P74.8Other transitory metabolic disturbances of newborn
- P74.9Transitory metabolic disturbance of newborn, unspecified
Questions about P74.0
- Is P74.0 a billable ICD-10-CM code?
- Yes. P74.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P74.0 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Transitory endocrine and metabolic disorders specific to newborn (P70-P74).
- What cannot be coded together with P74.0?
- P74.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.