P36.1
P36.1 — Sepsis of newborn due to other and unspecified streptococci
Non-billable headerICD-10-CM
P36.1 is a non-billable header ICD-10-CM code for sepsis of newborn due to other and unspecified streptococci. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with P36.1
These codes carry an Excludes1 note pointing at P36.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P36.1 alone.
- A40Streptococcal sepsis
Risk adjustment
P36.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead P36.1
2 child codes. Green means billable.
Related codes at this level
Codes that share P36. If P36.1 is not quite right, the correct code is usually one of these.
- P36.0Sepsis of newborn due to streptococcus, group B
- 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
Questions about P36.1
- Is P36.1 a billable ICD-10-CM code?
- No. P36.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P36.1 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Infections specific to the perinatal period (P35-P39).