P23

P23: Congenital pneumonia

Non-billable headerICD-10-CM

P23 is a non-billable header ICD-10-CM code for congenital pneumonia. 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 pneumonia resulting from aspiration (P24.-)

Includes

Conditions this code covers.

infective pneumonia acquired in utero or during birth

Other codes that can never be billed with P23

Their own Excludes1 notes name this code, so the conflict is not listed above.

J13Pneumonia due to Streptococcus pneumoniae
J14Pneumonia due to Hemophilus influenzae
J15Bacterial pneumonia, not elsewhere classified
J16Pneumonia due to other infectious organisms, not elsewhere classified
J18Pneumonia, unspecified organism
A56Other sexually transmitted chlamydial diseases
A74Other diseases caused by chlamydiae

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead P23

9 child codes. Green means billable.