P12.0
P12.0: Cephalhematoma due to birth injury
Billable / specific codeICD-10-CM
P12.0 is a billable, specific ICD-10-CM code for cephalhematoma due to birth injury. It is valid for submission on a claim.
Check P12.0 with the rest of the claim: free scrubberOther codes that can never be billed with P12.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- P13.1Other birth injuries to skull
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
P12.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Cephalematoma, cephalhematoma›newborn(birth injury)
Code history
Unchanged in every release from FY2024 to FY2027.