P96.2
P96.2: Withdrawal symptoms from therapeutic use of drugs in newborn
Billable / specific codeICD-10-CM
P96.2 is a billable, specific ICD-10-CM code for withdrawal symptoms from therapeutic use of drugs in newborn. It is valid for submission on a claim.
Check P96.2 with the rest of the claim: free scrubberOther codes that can never be billed with P96.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
- P93Reactions and intoxications due to drugs administered to newborn
Risk adjustment
P96.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Alphabetic index entries that lead here
- Withdrawal state›therapeutic substance, neonatal
- Withdrawal state›newborn›correct therapeutic substance properly administered
- Syndrome›withdrawal›drug›therapeutic use, newborn
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under P96
- P96.0Congenital renal failure
- P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
- 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