P00.81 — Newborn affected by periodontal disease in mother
P00.81 is a billable, specific ICD-10-CM code for newborn affected by periodontal disease in mother. It is valid for submission on a claim.
Excludes2 inherited from the categories above P00.81
Also inherited, and the opposite of Excludes1: these conditions are not part of P00.81, 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
P00.81 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
P00.81 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 P00.81 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 P00.81.
- Newborn›affected by›maternal›periodontal disease
Code history
P00.81 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 P00.8. If P00.81 is not quite right, the correct code is usually one of these.
Questions about P00.81
- Is P00.81 a billable ICD-10-CM code?
- Yes. P00.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P00.81 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).