P36.10 — Sepsis of newborn due to unspecified streptococci
P36.10 is a billable, specific ICD-10-CM code for sepsis of newborn due to unspecified streptococci. It is valid for submission on a claim.
Risk adjustment
P36.10 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
P36.10 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
How P36.10 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P36.10.
- Sepsis›Streptococcus, streptococcal›neonatal
- Infection, infected, infective›streptococcal NEC›congenital›sepsis
- Newborn›sepsis›due to›Streptococcus
- Sepsis›newborn›due to›Streptococcus
Related codes at this level
Codes that share P36.1. If P36.10 is not quite right, the correct code is usually one of these.
Questions about P36.10
- Is P36.10 a billable ICD-10-CM code?
- Yes. P36.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P36.10 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).