P00.1 — Newborn affected by maternal renal and urinary tract diseases
P00.1 is a billable, specific ICD-10-CM code for newborn affected by maternal renal and urinary tract diseases. It is valid for submission on a claim.
Risk adjustment
P00.1 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
P00.1 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57189Billing and Coding: Serum Magnesium
How P00.1 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 P00.1.
- Newborn›affected by›maternal›renal disease
- Newborn›affected by›maternal›urinary tract disease
Related codes at this level
Codes that share P00. If P00.1 is not quite right, the correct code is usually one of these.
- P00.0Newborn affected by maternal hypertensive disorders
- P00.2Newborn affected by maternal infectious and parasitic diseases
- P00.3Newborn affected by other maternal circulatory and respiratory diseases
- P00.4Newborn affected by maternal nutritional disorders
- P00.5Newborn affected by maternal injury
- P00.6Newborn affected by surgical procedure on mother
- P00.7Newborn affected by other medical procedures on mother, not elsewhere classified
- P00.8Newborn affected by other maternal conditions
- P00.9Newborn affected by unspecified maternal condition
Questions about P00.1
- Is P00.1 a billable ICD-10-CM code?
- Yes. P00.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P00.1 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04).