P96.8
P96.8 — Other specified conditions originating in the perinatal period
Non-billable headerICD-10-CM
P96.8 is a non-billable header ICD-10-CM code for other specified 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 P96.8
These codes carry an Excludes1 note pointing at P96.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P96.8 alone.
Risk adjustment
P96.8 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 P96.8
4 child codes. Green means billable.
Related codes at this level
Codes that share P96. If P96.8 is not quite right, the correct code is usually one of these.
- P96.0Congenital renal failure
- 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
- P96.9Condition originating in the perinatal period, unspecified
Questions about P96.8
- Is P96.8 a billable ICD-10-CM code?
- No. P96.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P96.8 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).