P09.5

P09.5: Abnormal findings on neonatal screening for critical congenital heart disease

Billable / specific codeICD-10-CM

P09.5 is a billable, specific ICD-10-CM code for abnormal findings on neonatal screening for critical congenital heart disease. It is valid for submission on a claim.

Check P09.5 with the rest of the claim: free scrubber

Inclusion terms

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

Neonatal congenital heart disease screening failure

Excludes2 inherited from the categories above P09.5

Not part of this code, but both may be coded when both are present.

Written on P09: Abnormal findings on neonatal screening

nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Failure, failed›newborn screening›neonatal congenital heart disease
Abnormal, abnormality, abnormalities›neonatal screening›for›critical congenital heart disease

Code history

Unchanged in every release from FY2024 to FY2027.