Is P03.81 a billable ICD-10-CM code?

No. P03.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P03.81 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).

What cannot be coded together with P03.81?

P03.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P03.81

P03.81 — Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm

Non-billable headerICD-10-CM

P03.81 is a non-billable header ICD-10-CM code for newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

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

neonatal cardiac dysrhythmia (P29.1-)

Risk adjustment

P03.81 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.

Code to one of these instead P03.81

3 child codes. Green means billable.

Related codes at this level

Codes that share P03.8. If P03.81 is not quite right, the correct code is usually one of these.

Questions about P03.81

Is P03.81 a billable ICD-10-CM code?: No. P03.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P03.81 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).
What cannot be coded together with P03.81?: P03.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.