Is P70.1 a billable ICD-10-CM code?

Yes. P70.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P70.1 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Transitory endocrine and metabolic disorders specific to newborn (P70-P74).

What cannot be coded together with P70.1?

P70.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P70.1

P70.1 — Syndrome of infant of a diabetic mother

Billable / specific codeICD-10-CM

P70.1 is a billable, specific ICD-10-CM code for syndrome of infant of a diabetic mother. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

newborn (with hypoglycemia) affected by maternal gestational diabetes (P70.0)
syndrome of infant of mother with gestational diabetes (P70.0)

Inclusion terms

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

Newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus

Other codes that can never be billed with P70.1

These codes carry an Excludes1 note pointing at P70.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P70.1 alone.

P08.0Exceptionally large newborn baby
P08.1Other heavy for gestational age newborn
P70.0Syndrome of infant of mother with gestational diabetes
E16.1Other hypoglycemia

Risk adjustment

P70.1 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.

How P70.1 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 P70.1.

Hypoglycemia›in infant of diabetic mother
Infant›of diabetic mother(syndrome of)
Syndrome›infant›of diabetic mother
Newborn›affected by›maternal›diabetes mellitus(pre-existing)

Related codes at this level

Codes that share P70. If P70.1 is not quite right, the correct code is usually one of these.

Questions about P70.1

Is P70.1 a billable ICD-10-CM code?: Yes. P70.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P70.1 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Transitory endocrine and metabolic disorders specific to newborn (P70-P74).
What cannot be coded together with P70.1?: P70.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.