Is P91.81 a billable ICD-10-CM code?

No. P91.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P91.81 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Other disorders originating in the perinatal period (P90-P96).

P91.81

P91.81 — Neonatal encephalopathy

Non-billable headerICD-10-CM

P91.81 is a non-billable header ICD-10-CM code for neonatal encephalopathy. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

P91.81 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.

Code to one of these instead P91.81

2 child codes. Green means billable.

P91.811Neonatal encephalopathy in diseases classified elsewhere
P91.819Neonatal encephalopathy, unspecified

Related codes at this level

Codes that share P91.8. If P91.81 is not quite right, the correct code is usually one of these.

P91.82Neonatal cerebral infarction
P91.88Other specified disturbances of cerebral status of newborn

Questions about P91.81

Is P91.81 a billable ICD-10-CM code?: No. P91.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P91.81 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Other disorders originating in the perinatal period (P90-P96).