Abnormal findings on neonatal screening
chapter 16: Certain Conditions Originating in the Perinatal Period
8 billable codes under P09: none are a CC or MCC; none map to an HCC.
Advertisements
Instructional notes
Includes: conditions that are coded here
- Abnormal findings on state mandated newborn screens
- Failed newborn screening
Excludes2: not included here, code separately if applicable
- nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.
- General Perinatal Rules (page 71)
- Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
- Coding Additional Perinatal Diagnoses (page 73)
- Prematurity and Fetal Growth Retardation (page 73)
- Low birth weight and immaturity status (page 74)
- Bacterial Sepsis of Newborn (page 74)
- Stillbirth (page 74)
- COVID-19 Infection in Newborn (page 74)
All codes under P09
P09 can't be used on a claim. Pick a billable code below; grey headings group them.
- P09.1Abnormal findings on neonatal screening for inborn errors of metabolism
- P09.2Abnormal findings on neonatal screening for congenital endocrine disease
- P09.3Abnormal findings on neonatal screening for congenital hematologic disorders
- P09.4Abnormal findings on neonatal screening for cystic fibrosis
- P09.5Abnormal findings on neonatal screening for critical congenital heart disease
- P09.6Abnormal findings on neonatal hearing screening
- P09.8Other abnormal findings on neonatal screening
- P09.9Abnormal findings on neonatal screening, unspecified
P09 MS-DRGs
As the principal diagnosis, all 8 billable codes under P09 group to MS-DRG 947 or 948 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Newborn Screening
Your newborn infant has screening tests before leaving the hospital. There may be different tests depending on the state where you live. They include:
Read more about newborn screening on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015.
- FY2022: Subcodes were added, so P09 is no longer billable on its own. New codes for cases coded here before: P09.1 (Abnormal findings on neonatal screening for inborn errors of metabolism), P09.2 (Abnormal findings on neonatal screening for congenital endocrine disease), P09.3 (Abnormal findings on neonatal screening for congenital hematologic disorders), P09.4 (Abnormal findings on neonatal screening for cystic fibrosis), P09.5 (Abnormal findings on neonatal screening for critical congenital heart disease), P09.6 (Abnormal findings on neonatal hearing screening), P09.8 (Other abnormal findings on neonatal screening), P09.9 (Abnormal findings on neonatal screening, unspecified).
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 796.6 Abnormal findings on neonatal screening