P90

P90: Convulsions of newborn

Billable / specific codeICD-10-CM

P90 is a billable, specific ICD-10-CM code for convulsions of newborn. It is valid for submission on a claim.

Check P90 with the rest of the claim: free scrubber

Excludes1: never code together

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

benign myoclonic epilepsy in infancy (G40.3-)
benign neonatal convulsions (familial) (G40.3-)

Other codes that can never be billed with P90

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

G40Epilepsy and recurrent seizures
R56Convulsions, not elsewhere classified

Risk adjustment

P90 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 201 Seizure Disorders and Convulsions0.245 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.

Medicare coverage

P90 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Convulsions›infantile
Convulsions›newborn
Fit›newborn
Newborn›convulsion
Newborn›seizure
Seizure›newborn

Code history

Unchanged in every release from FY2024 to FY2027.