P09

Non-Billable
ChapterP00–P96
Rankcategory
Official Description

Abnormal findings on neonatal screening

Metadata & Insights
  • 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. Code separately if applicable.)
  • 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)

Instructional Notes

Includes
  • 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)

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P09Abnormal findings on neonatal screeningNot billable
P09.1Abnormal findings on neonatal screening for inborn errors of metabolismBillable
P09.2Abnormal findings on neonatal screening for congenital endocrine diseaseBillable
P09.3Abnormal findings on neonatal screening for congenital hematologic disordersBillable
P09.4Abnormal findings on neonatal screening for cystic fibrosisBillable
P09.5Abnormal findings on neonatal screening for critical congenital heart diseaseBillable
P09.6Abnormal findings on neonatal hearing screeningBillable
P09.8Other abnormal findings on neonatal screeningBillable
P09.9Abnormal findings on neonatal screening, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P09:

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

Code History

  • FY 2021: Superseded by P09.1
  • FY 2021: Superseded by P09.2
  • FY 2021: Superseded by P09.3
  • FY 2021: Superseded by P09.4
  • FY 2021: Superseded by P09.5

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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