P09.5

Billable

ChapterP00–P96

Ranksubcategory

Official Description

Abnormal findings on neonatal screening for critical congenital heart disease

Metadata & Insights

•2026 ICD-10-CM Edition - Effective October 1, 2025.
•Billable/specific code (valid for reimbursement).
•Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

Instructional Notes

Includes

Neonatal congenital heart disease screening failure

General instructions are available for the parent sections:

View CH16 Notes View P09 Notes

Clinical Hierarchy

CH16Certain conditions originating in the perinatal period (P00-P96)

P09Abnormal findings on neonatal screening

P09.5Abnormal findings on neonatal screening for critical congenital heart disease

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P09.5:

categoryP09

Abnormal findings on neonatal screening

View context instructions

chapterCH16

Certain conditions originating in the perinatal period (P00-P96)

View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to P09.5. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

2 raw paths

Abnormal, abnormality, abnormalities1 unique routes

neonatal screening

for

critical congenital heart disease→P09.5

Failure, failed1 unique routes

newborn screening

neonatal congenital heart disease→P09.5

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 947

Signs and Symptoms with MCC

DRG 948

Signs and Symptoms without MCC

Cross Reference

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