P00-P04

Non-Billable
ChapterP00–P96
Rankblock
Official Description

Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

CH16 Parent Instructions

Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes2(Not included here)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Clinical Hierarchy

CH16Certain conditions originating in the perinatal period (P00-P96)
P00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
P00Newborn affected by maternal conditions that may be unrelated to present pregnancy
P01Newborn affected by maternal complications of pregnancy
P02Newborn affected by complications of placenta, cord and membranes
P03Newborn affected by other complications of labor and delivery
P04Newborn affected by noxious substances transmitted via placenta or breast milk

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P00-P04:

chapterCH16
Certain conditions originating in the perinatal period (P00-P96)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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