P13.1

P13.1: Other birth injuries to skull

Billable / specific codeICD-10-CM

P13.1 is a billable, specific ICD-10-CM code for other birth injuries to skull. It is valid for submission on a claim.

Check P13.1 with the rest of the claim: free scrubber

Excludes1: never code together

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

cephalhematoma (P12.0)

Excludes2 inherited from the categories above P13.1

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

Written on P13: Birth injury to skeleton

birth injury to spine (P11.5)

Risk adjustment

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

Medicare coverage

P13.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

Rupture, ruptured›fontanel
Birth›injury NOS›skull NEC

Code history

Unchanged in every release from FY2024 to FY2027.