P92.09 — Other vomiting of newborn
P92.09 is a billable, specific ICD-10-CM code for other vomiting of newborn. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- regurgitation of food in newborn (P92.1)
Risk adjustment
P92.09 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.
Medicare coverage
P92.09 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57189Billing and Coding: Serum Magnesium
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How P92.09 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P92.09.
- Newborn›vomiting
- Vomiting›newborn NEC
Related codes at this level
Codes that share P92.0. If P92.09 is not quite right, the correct code is usually one of these.
Questions about P92.09
- Is P92.09 a billable ICD-10-CM code?
- Yes. P92.09 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P92.09 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).
- What cannot be coded together with P92.09?
- P92.09 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.