P96.89 — Other specified conditions originating in the perinatal period
P96.89 is a billable, specific ICD-10-CM code for other specified conditions originating in the perinatal period. It is valid for submission on a claim.
Use additional code
Add a secondary code to capture the detail described below.
- code to specify condition
Risk adjustment
P96.89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
P96.89 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How P96.89 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 P96.89.
- Birth›shock, newborn
- Hypoperfusion›newborn
- Newborn›breast buds
- Vitality, lack or want of›newborn
- Weak, weakening, weakness›newborn
- Breast›buds›in newborn
- Buds›breast›in newborn
Related codes at this level
Codes that share P96.8. If P96.89 is not quite right, the correct code is usually one of these.
Questions about P96.89
- Is P96.89 a billable ICD-10-CM code?
- Yes. P96.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P96.89 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).