P10-P15 — Birth trauma
ICD-10-CM codes P10-P15 cover birth trauma, within certain conditions originating in the perinatal period. The block holds 51 codes across 6 categories, of which 44 are billable and 7 are header codes that cannot be submitted on a claim.
Risk adjustment in P10-P15
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 248 Intracranial Hemorrhage
- HCC 182 Spinal Cord Disorders/Injuries
- HCC 399 Major Head Injury without Loss of Consciousness
What else to watch in P10-P15
- 30 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.