P78.0

P78.0: Perinatal intestinal perforation

Billable / specific codeICD-10-CM

P78.0 is a billable, specific ICD-10-CM code for perinatal intestinal perforation. It is valid for submission on a claim.

Check P78.0 with the rest of the claim: free scrubber

Inclusion terms

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

Meconium peritonitis

Excludes1 inherited from the categories above P78.0

A category’s note binds every code beneath it.

Written on P78: Other perinatal digestive system disorders

cystic fibrosis (E84.0-E84.9)
neonatal gastrointestinal hemorrhages (P54.0-P54.3)

Other codes that can never be billed with P78.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

K65Peritonitis

Risk adjustment

P78.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 78 Intestinal Obstruction/Perforation0.326 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Alphabetic index entries that lead here

Meconium›peritonitis
Peritonitis›meconium(newborn)
Newborn›affected by›intestinal perforation
Newborn›affected by›meconium peritonitis
Perforation, perforated›bowel›newborn
Perforation, perforated›colon›newborn
Perforation, perforated›ileum›newborn
Perforation, perforated›intestine NEC›newborn
Perforation, perforated›rectum›newborn
Perforation, perforated›sigmoid›newborn
Peritonitis›neonatal›meconium
Perforation, perforated›intestine NEC›ulcerative NEC›newborn

Code history

Unchanged in every release from FY2024 to FY2027.