P36
P36: Bacterial sepsis of newborn
Non-billable headerICD-10-CM
P36 is a non-billable header ICD-10-CM code for bacterial sepsis of newborn. It cannot be billed on its own: choose one of the more specific child codes below.
Use additional code
Add a secondary code to capture the detail described below.
- code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)
Includes
Conditions this code covers.
- congenital sepsis
Other codes that can never be billed with P36
Their own Excludes1 notes name this code, so the conflict is not listed above.
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 P36
8 child codes. Green means billable.
- P36.0Sepsis of newborn due to streptococcus, group B
- P36.1Sepsis of newborn due to other and unspecified streptococci
- P36.2Sepsis of newborn due to Staphylococcus aureus
- P36.3Sepsis of newborn due to other and unspecified staphylococci
- P36.4Sepsis of newborn due to Escherichia coli
- P36.5Sepsis of newborn due to anaerobes
- P36.8Other bacterial sepsis of newborn
- P36.9Bacterial sepsis of newborn, unspecified