Is ICD-10-CM code P13 billable?

No, P13 (Birth injury to skeleton) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code P13 belong to?

P13 belongs to Chapter 16 of the ICD-10-CM tabular list: P00–P96 (Certain Conditions Originating in the Perinatal Period).

P13Not billable, use a more specific code below

Birth injury to skeleton

In Birth trauma (P10-P15), chapter 16: Certain Conditions Originating in the Perinatal Period

7 billable codes under P13: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes2: not included here, code separately if applicable

birth injury to spine (P11.5)

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)

Read Section I.C.16 (page 71)

All codes under P13

P13 can't be used on a claim. Pick a billable code below; grey headings group them.

P13 MS-DRG

As the principal diagnosis, all 7 billable codes under P13 group to MS-DRG 794 (v44.0).

DRG 794 Neonate with Other Significant Problems

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Bone Diseases

Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone. To have strong bones when you are young, and to prevent bone loss when you are older, you need to get enough calcium, vitamin D, and exercise. You should also avoid smoking and drinking too much alcohol.

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:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.