P91.63
P91.63: Severe hypoxic ischemic encephalopathy [HIE]
Billable / specific codeICD-10-CM
P91.63 is a billable, specific ICD-10-CM code for severe hypoxic ischemic encephalopathy [hie]. It is valid for submission on a claim.
Check P91.63 with the rest of the claim: free scrubberRisk adjustment
P91.63 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 202 Coma, Brain Compression/Anoxic Damage0.543 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
P91.63 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
- Encephalopathy›hypoxic ischemic›severe
- Newborn›affected by›hypoxic ischemic encephalopathy [HIE]›severe
Code history
Unchanged in every release from FY2024 to FY2027.