MCMedicalCodingSoftware
P96

P96: Other conditions originating in the perinatal period

Non-billable headerICD-10-CM

P96 is a non-billable header ICD-10-CM code for other conditions originating in the perinatal period. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with P96

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

  • N19Unspecified kidney failure
  • P03.82Meconium passage during delivery
  • P24.0Meconium aspiration
  • P93Reactions and intoxications due to drugs administered to newborn
  • R53.8Other malaise and fatigue

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 P96

7 child codes. Green means billable.

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.