Is P96 a billable ICD-10-CM code?

No. P96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P96 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).

P96

P96 — Other conditions originating in the perinatal period

Non-billable headerICD-10-CM

P96 is a non-billable header ICD-10-CM code for other conditions originating in the perinatal period. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with P96

These codes carry an Excludes1 note pointing at P96. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P96 alone.

N19Unspecified kidney failure
P03.82Meconium passage during delivery
P24.0Meconium aspiration
P93Reactions and intoxications due to drugs administered to newborn
R53.8Other malaise and fatigue

Risk adjustment

P96 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 P96

7 child codes. Green means billable.

Questions about P96

Is P96 a billable ICD-10-CM code?: No. P96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P96 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).