MCMedicalCodingSoftware
P91.6

P91.6: Hypoxic ischemic encephalopathy [HIE]

Non-billable headerICD-10-CM

P91.6 is a non-billable header ICD-10-CM code for hypoxic ischemic encephalopathy [hie]. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

  • Neonatal cerebral depression (P91.4)
  • Neonatal cerebral irritability (P91.3)
  • Neonatal coma (P91.5)

Other codes that can never be billed with P91.6

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

  • P84Other problems with newborn

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead P91.6

4 child codes. Green means billable.

Other codes under P91

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.