P96.0
P96.0: Congenital renal failure
Billable / specific codeICD-10-CM
P96.0 is a billable, specific ICD-10-CM code for congenital renal failure. It is valid for submission on a claim.
Check P96.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Uremia of newborn
Other codes that can never be billed with P96.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N19Unspecified kidney failure
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
P96.0 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
Alphabetic index entries that lead here
- Anuria›newborn
- Uremia, uremic›congenital
- Uremia, uremic›newborn
- Failure, failed›renal›congenital
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under P96
- P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
- P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
- P96.3Wide cranial sutures of newborn
- P96.5Complication to newborn due to (fetal) intrauterine procedure
- P96.8Other specified conditions originating in the perinatal period
- P96.9Condition originating in the perinatal period, unspecified