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P38

P38Omphalitis of newborn

Non-billable headerICD-10-CM

P38 is a non-billable header ICD-10-CM code for omphalitis of newborn. 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.

  • omphalitis not of newborn (L08.82)
  • tetanus omphalitis (A33)
  • umbilical hemorrhage of newborn (P51.-)

Other codes that can never be billed with P38

These codes carry an Excludes1 note pointing at P38. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P38 alone.

  • L08.82Omphalitis not of newborn
  • P51Umbilical hemorrhage of newborn
  • L02.2Cutaneous abscess, furuncle and carbuncle of trunk

Risk adjustment

P38 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 P38

2 child codes. Green means billable.

Questions about P38

Is P38 a billable ICD-10-CM code?
No. P38 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P38 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).
What cannot be coded together with P38?
P38 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.