Is P00.6 a billable ICD-10-CM code?

Yes. P00.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P00.6 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).

What cannot be coded together with P00.6?

P00.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

P00.6

P00.6 — Newborn affected by surgical procedure on mother

Billable / specific codeICD-10-CMPOA exempt

P00.6 is a billable, specific ICD-10-CM code for newborn affected by surgical procedure on mother. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Cesarean delivery for present delivery (P03.4)
damage to placenta from amniocentesis, Cesarean delivery or surgical induction (P02.1)
previous surgery to uterus or pelvic organs (P03.89)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

newborn affected by complication of (fetal) intrauterine procedure (P96.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Newborn affected by amniocentesis

Excludes2 inherited from the categories above P00.6

Also inherited, and the opposite of Excludes1: these conditions are not part of P00.6, but a patient can have both, so you may code both.

Written on P00 — Newborn affected by maternal conditions that may be unrelated to present pregnancy

encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
newborn affected by maternal complications of pregnancy (P01.-)
newborn affected by maternal endocrine and metabolic disorders (P70-P74)
newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)

Risk adjustment

P00.6 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.

How P00.6 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 P00.6.

Newborn›affected by›amniocentesis(while in utero)
Newborn›affected by›maternal›surgical procedure

Code history

P00.6 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share P00. If P00.6 is not quite right, the correct code is usually one of these.

Questions about P00.6

Is P00.6 a billable ICD-10-CM code?: Yes. P00.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P00.6 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).
What cannot be coded together with P00.6?: P00.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.