P96.5

P96.5: Complication to newborn due to (fetal) intrauterine procedure

Billable / specific codeICD-10-CM

P96.5 is a billable, specific ICD-10-CM code for complication to newborn due to (fetal) intrauterine procedure. It is valid for submission on a claim.

Check P96.5 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

newborn affected by amniocentesis (P00.6)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

P96.5 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

Complication›newborn, due to intrauterine procedure(fetal)
Complication›intrauterine›procedure, to newborn(fetal)
Newborn›affected by›intrauterine procedure(in utero)

Code history

Unchanged in every release from FY2024 to FY2027.