Is P01 a billable ICD-10-CM code?

No. P01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P01 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).

P01

P01 — Newborn affected by maternal complications of pregnancy

Non-billable headerICD-10-CM

P01 is a non-billable header ICD-10-CM code for newborn affected by maternal complications of pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.

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.

encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)

Code first

The underlying condition must be sequenced before this code.

any current condition in newborn

Other codes that can never be billed with P01

These codes carry an Excludes1 note pointing at P01. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P01 alone.

P01.2Newborn affected by oligohydramnios

Risk adjustment

P01 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.

Code to one of these instead P01

10 child codes. Green means billable.

Questions about P01

Is P01 a billable ICD-10-CM code?: No. P01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P01 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).