DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

P96 Other conditions originating in the perinatal period

  • Header · not billable

P96 is not billable. The category heads 10 billable codes in FY2027, grouped under 7 subdivisions.

Index → code

  • Wide cranial sutures, newborn → P96.3
  • Anurianewborn → P96.0
  • Birthshock, newborn → P96.89

Where it sits

  1. Chapter 16 Certain conditions originating in the perinatal period (P00-P96)
  2. P90-P96 Other disorders originating in the perinatal period (P90-P96)
  3. P96 Other conditions originating in the perinatal period
Billable codes
10
Subdivisions
7
CC / MCC codes
2 / 0
HCC V28 codes
2
New FY2027
0
Index entries
35

Codes in P96

  1. P96.0
    Congenital renal failure
    Billable
    Inclusion terms 1

    Inclusion terms

    • Uremia of newborn
  2. P96.1
    Neonatal withdrawal symptoms from maternal use of drugs of addiction
    BillableCC137
    Inclusion terms 2, Excludes1 1

    Inclusion terms

    • Drug withdrawal syndrome in infant of dependent mother
    • Neonatal abstinence syndrome

    Excludes1

    • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0) P04.0
  3. P96.2
    Withdrawal symptoms from therapeutic use of drugs in newborn
    BillableCC137
  4. P96.3
    Wide cranial sutures of newborn
    Billable
    Inclusion terms 1

    Inclusion terms

    • Neonatal craniotabes
  5. P96.5
    Complication to newborn due to (fetal) intrauterine procedure
    Billable
    Excludes2 1

    Excludes2

    • newborn affected by amniocentesis (P00.6) P00.6
  6. P96.8
    Other specified conditions originating in the perinatal period
    Header
  7. P96.81
    Exposure to (parental) (environmental) tobacco smoke in the perinatal period
    Billable
    Excludes2 2

    Excludes2

    • newborn affected by in utero exposure to tobacco (P04.2) P04.2
    • exposure to environmental tobacco smoke after the perinatal period (Z77.22) Z77.22
  8. P96.82
    Delayed separation of umbilical cord
    Billable
  9. P96.83
    Meconium staining
    Billable
    Excludes1 2

    Excludes1

    • meconium aspiration (P24.00, P24.01) P24.00 P24.01
    • meconium passage during delivery (P03.82) P03.82
  10. P96.89
    Other specified conditions originating in the perinatal period
    Billable
    Use additional code 1

    Use additional code

    • code to specify condition
  11. P96.9
    Condition originating in the perinatal period, unspecified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Congenital debility NOS

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Chapter 16 instructions (Notes 1, Includes 1, Excludes2 5): printed on the chapter 16 page.

Index entries

  • Wide cranial sutures, newborn → P96.3
  • Anurianewborn → P96.0
  • Uremia, uremiccongenital → P96.0
  • Uremia, uremicnewborn → P96.0
  • Abstinence symptoms, syndromeneonatal → P96.1
  • Newborn (infant) (liveborn) (singleton)abstinence syndrome → P96.1
  • Syndromeabstinence, neonatal → P96.1
  • Syndromedrug withdrawal, infant of dependent mother → P96.1
  • Syndromeneonatal abstinence → P96.1
  • Withdrawal statetherapeutic substance, neonatal → P96.2
  • Craniotabes (cause unknown)neonatal → P96.3
  • Complication(s) (from) (of)newborn, due to intrauterine (fetal) procedure → P96.5
  • Second hand tobacco smoke exposure (acute) (chronic)in the perinatal period → P96.81
  • Delay, delayedseparation of umbilical cord → P96.82
  • Stain, stainingmeconium (newborn) → P96.83
  • Birthshock, newborn → P96.89
  • Hypoperfusion (in)newborn → P96.89
  • Newborn (infant) (liveborn) (singleton)breast buds → P96.89
  • Vitality, lack or want ofnewborn → P96.89
  • Weak, weakening, weakness (generalized)newborn → P96.89
  • Debility (chronic) (general) (nervous)congenital or neonatal NOS → P96.9
  • Failure, failedrenalcongenital → P96.0
  • Newborn (infant) (liveborn) (singleton)affected byneonatal abstinence syndrome → P96.1
  • Withdrawal statenewborninfant of dependent mother → P96.1
  • Withdrawal statenewborncorrect therapeutic substance properly administered → P96.2
  • Complication(s) (from) (of)intrauterineprocedure (fetal), to newborn → P96.5
  • Newborn (infant) (liveborn) (singleton)affected byintrauterine (in utero) procedure → P96.5
  • Exposure (to)second hand tobacco smoke (acute) (chronic)in the perinatal period → P96.81
  • Breastbudsin newborn → P96.89
  • Budsbreastin newborn → P96.89
  • Dependence (on) (syndrome)drug NECcocainewithdrawal symptoms in newborn → P96.1
  • Reactiondrug NECwithdrawalinfant of dependent mother → P96.1
  • Reactiondrug NECwithdrawalnewborn → P96.1
  • Syndromewithdrawaldruginfant of dependent mother → P96.1
  • Syndromewithdrawaldrugtherapeutic use, newborn → P96.2

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