P11
P11 — Other birth injuries to central nervous system
Non-billable headerICD-10-CM
P11 is a non-billable header ICD-10-CM code for other birth injuries to central nervous system. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with P11
These codes carry an Excludes1 note pointing at P11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P11 alone.
Risk adjustment
P11 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 P11
7 child codes. Green means billable.
- P11.0Cerebral edema due to birth injury
- P11.1Other specified brain damage due to birth injury
- P11.2Unspecified brain damage due to birth injury
- P11.3Birth injury to facial nerve
- P11.4Birth injury to other cranial nerves
- P11.5Birth injury to spine and spinal cord
- P11.9Birth injury to central nervous system, unspecified
Questions about P11
- Is P11 a billable ICD-10-CM code?
- No. P11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P11 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Birth trauma (P10-P15).