P23.6

P23.6: Congenital pneumonia due to other bacterial agents

Billable / specific codeICD-10-CM

P23.6 is a billable, specific ICD-10-CM code for congenital pneumonia due to other bacterial agents. It is valid for submission on a claim.

Check P23.6 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B96) to identify organism

Inclusion terms

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

Congenital pneumonia due to Hemophilus influenzae
Congenital pneumonia due to Klebsiella pneumoniae
Congenital pneumonia due to Mycoplasma
Congenital pneumonia due to Streptococcus, except group B

Excludes1 inherited from the categories above P23.6

A category’s note binds every code beneath it.

Written on P23: Congenital pneumonia

neonatal pneumonia resulting from aspiration (P24.-)

Other codes that can never be billed with P23.6

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

Risk adjustment

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

Alphabetic index entries that lead here

Pneumonia›congenital›due to›bacterium NEC
Pneumonia›congenital›due to›Haemophilus influenzae
Pneumonia›congenital›due to›Klebsiella pneumoniae
Pneumonia›congenital›due to›Mycoplasma
Pneumonia›congenital›due to›Streptococcus(except group B)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under P23