Is P94 a billable ICD-10-CM code?

No. P94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P94 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Other disorders originating in the perinatal period (P90-P96).

P94

P94 — Disorders of muscle tone of newborn

Non-billable headerICD-10-CM

P94 is a non-billable header ICD-10-CM code for disorders of muscle tone of newborn. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with P94

These codes carry an Excludes1 note pointing at P94. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P94 alone.

G70Myasthenia gravis and other myoneural disorders

Risk adjustment

P94 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 P94

5 child codes. Green means billable.

Questions about P94

Is P94 a billable ICD-10-CM code?: No. P94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P94 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Other disorders originating in the perinatal period (P90-P96).