Is P96.2 a billable ICD-10-CM code?

Yes. P96.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P96.2 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).

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.

Other codes that can never be billed with P96.2

These codes carry an Excludes1 note pointing at P96.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P96.2 alone.

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.

How P96.2 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 P96.2.

Withdrawal state›therapeutic substance, neonatal
Withdrawal state›newborn›correct therapeutic substance properly administered
Syndrome›withdrawal›drug›therapeutic use, newborn

Related codes at this level

Codes that share P96. If P96.2 is not quite right, the correct code is usually one of these.

Questions about P96.2

Is P96.2 a billable ICD-10-CM code?: Yes. P96.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P96.2 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).