Is P83.3 a billable ICD-10-CM code?

No. P83.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P83.3 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Conditions involving the integument and temperature regulation of newborn (P80-P83).

What cannot be coded together with P83.3?

P83.3 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 P83.3 (P83) and apply to it just the same.

P83.3

P83.3 — Other and unspecified edema specific to newborn

Non-billable headerICD-10-CM

P83.3 is a non-billable header ICD-10-CM code for other and unspecified edema specific to newborn. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above P83.3

These are not written on P83.3, but they bind it: a note on a category applies to every code beneath it. Billing P83.3 with anything listed here is a denial.

Written on P83 — Other conditions of integument specific to newborn

congenital malformations of skin and integument (Q80-Q84)
hydrops fetalis due to hemolytic disease (P56.-)
neonatal skin infection (P39.4)
staphylococcal scalded skin syndrome (L00)

Excludes2 inherited from the categories above P83.3

Also inherited, and the opposite of Excludes1: these conditions are not part of P83.3, but a patient can have both, so you may code both.

Written on P83 — Other conditions of integument specific to newborn

cradle cap (L21.0)
diaper [napkin] dermatitis (L22)

Other codes that can never be billed with P83.3

These codes carry an Excludes1 note pointing at P83.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P83.3 alone.

R60Edema, not elsewhere classified

Risk adjustment

P83.3 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 history

P83.3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead P83.3

2 child codes. Green means billable.

Related codes at this level

Codes that share P83. If P83.3 is not quite right, the correct code is usually one of these.

Questions about P83.3

Is P83.3 a billable ICD-10-CM code?: No. P83.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P83.3 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Conditions involving the integument and temperature regulation of newborn (P80-P83).
What cannot be coded together with P83.3?: P83.3 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 P83.3 (P83) and apply to it just the same.