Is P78.81 a billable ICD-10-CM code?

Yes. P78.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P78.81 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Digestive system disorders of newborn (P76-P78).

What cannot be coded together with P78.81?

P78.81 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 P78.81 (P78) and apply to it just the same.

P78.81

P78.81 — Congenital cirrhosis (of liver)

Billable / specific codeICD-10-CM

P78.81 is a billable, specific ICD-10-CM code for congenital cirrhosis (of liver). It is valid for submission on a claim.

Excludes1 inherited from the categories above P78.81

These are not written on P78.81, but they bind it: a note on a category applies to every code beneath it. Billing P78.81 with anything listed here is a denial.

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 P78.81

These codes carry an Excludes1 note pointing at P78.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P78.81 alone.

K74Fibrosis and cirrhosis of liver

Risk adjustment

P78.81 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 P78.81 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 P78.81.

Cirrhosis, cirrhotic›liver›congenital

Code history

P78.81 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 P78.8. If P78.81 is not quite right, the correct code is usually one of these.

Questions about P78.81

Is P78.81 a billable ICD-10-CM code?: Yes. P78.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P78.81 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Digestive system disorders of newborn (P76-P78).
What cannot be coded together with P78.81?: P78.81 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 P78.81 (P78) and apply to it just the same.