P96.0 — Congenital renal failure
P96.0 is a billable, specific ICD-10-CM code for congenital renal failure. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Uremia of newborn
Other codes that can never be billed with P96.0
These codes carry an Excludes1 note pointing at P96.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P96.0 alone.
- N19Unspecified kidney failure
Risk adjustment
P96.0 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.
Medicare coverage
P96.0 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How P96.0 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 P96.0.
- Anuria›newborn
- Uremia, uremic›congenital
- Uremia, uremic›newborn
- Failure, failed›renal›congenital
Related codes at this level
Codes that share P96. If P96.0 is not quite right, the correct code is usually one of these.
- P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
- P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
- P96.3Wide cranial sutures of newborn
- P96.5Complication to newborn due to (fetal) intrauterine procedure
- P96.8Other specified conditions originating in the perinatal period
- P96.9Condition originating in the perinatal period, unspecified
Questions about P96.0
- Is P96.0 a billable ICD-10-CM code?
- Yes. P96.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P96.0 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).