P92.6 — Failure to thrive in newborn
P92.6 is a billable, specific ICD-10-CM code for failure to thrive in 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.
- failure to thrive in child over 28 days old (R62.51)
Other codes that can never be billed with P92.6
These codes carry an Excludes1 note pointing at P92.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P92.6 alone.
- R62.51Failure to thrive (child)
Risk adjustment
P92.6 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.
How P92.6 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 P92.6.
- Failure, failed›gain weight›newborn
- Failure, failed›to thrive›newborn
- Lack of›development›failure to thrive›newborn
Related codes at this level
Codes that share P92. If P92.6 is not quite right, the correct code is usually one of these.
Questions about P92.6
- Is P92.6 a billable ICD-10-CM code?
- Yes. P92.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P92.6 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 P92.6?
- P92.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.