P96.81

P96.81: Exposure to (parental) (environmental) tobacco smoke in the perinatal period

Billable / specific codeICD-10-CM

P96.81 is a billable, specific ICD-10-CM code for exposure to (parental) (environmental) tobacco smoke in the perinatal period. It is valid for submission on a claim.

Check P96.81 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 in utero exposure to tobacco (P04.2)
exposure to environmental tobacco smoke after the perinatal period (Z77.22)

Risk adjustment

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

Medicare coverage

P96.81 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Second hand tobacco smoke exposure›in the perinatal period
Exposure›second hand tobacco smoke›in the perinatal period

Code history

Unchanged in every release from FY2024 to FY2027.