Is P38.9 a billable ICD-10-CM code?

Yes. P38.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P38.9 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 P38.9?

P38.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P38.9 (P38) and apply to it just the same.

P38.9

P38.9 — Omphalitis without hemorrhage

Billable / specific codeICD-10-CM

P38.9 is a billable, specific ICD-10-CM code for omphalitis without hemorrhage. It is valid for submission on a claim.

Inclusion terms

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

Omphalitis of newborn NOS

Excludes1 inherited from the categories above P38.9

These are not written on P38.9, but they bind it: a note on a category applies to every code beneath it. Billing P38.9 with anything listed here is a denial.

Written on P38 — Omphalitis of newborn

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

Other codes that can never be billed with P38.9

These codes carry an Excludes1 note pointing at P38.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P38.9 alone.

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

Risk adjustment

P38.9 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.

How P38.9 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 P38.9.

Omphalitis(congenital) (newborn)
Newborn›omphalitis
Omphalitis›without hemorrhage
Abscess›navel›newborn
Cellulitis›navel›newborn
Newborn›omphalitis›without hemorrhage
Abscess›navel›newborn›without hemorrhage
Cellulitis›navel›newborn›without hemorrhage

Code history

P38.9 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share P38. If P38.9 is not quite right, the correct code is usually one of these.

P38.1Omphalitis with mild hemorrhage

Questions about P38.9

Is P38.9 a billable ICD-10-CM code?: Yes. P38.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P38.9 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 P38.9?: P38.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P38.9 (P38) and apply to it just the same.