Other birth injuries to central nervous system
In Birth trauma (P10-P15), chapter 16: Certain Conditions Originating in the Perinatal Period
7 billable codes under P11: 3 are an MCC; 4 map to HCC 248 (Intracranial Hemorrhage), HCC 182 (Spinal Cord Disorders/Injuries).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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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 P11
P11 can't be used on a claim. Pick a billable code below; grey headings group them.
- P11.0Cerebral edema due to birth injury
- P11.1Other specified brain damage due to birth injury
- P11.2Unspecified brain damage due to birth injury
- P11.3Birth injury to facial nerve
- P11.4Birth injury to other cranial nerves
- P11.5Birth injury to spine and spinal cord
- P11.9Birth injury to central nervous system, unspecified
P11 MS-DRGs
As the principal diagnosis, the billable codes under P11 group to MS-DRG 791, 793, or 794 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 791 Prematurity with Major Problems (5 of 7 codes)
- DRG 793 Full Term Neonate with Major Problems (5 of 7 codes)
- DRG 794 Neonate with Other Significant Problems (2 of 7 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read more about childbirth problems on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.