P13Non-billable

Birth injury to skeleton

Certain Conditions Originating in the Perinatal Period·Birth trauma (P10-P15)·category·FY 2026

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

Excludes2(Not included here. Code separately if applicable.)
  • birth injury to spine (P11.5)

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P10-P15Birth trauma (P10-P15)
P13Birth injury to skeletonNot billable
P13.0Fracture of skull due to birth injuryBillable
P13.1Other birth injuries to skullBillable
P13.2Birth injury to femurBillable
P13.3Birth injury to other long bonesBillable
P13.4Fracture of clavicle due to birth injuryBillable
P13.8Birth injuries to other parts of skeletonBillable
P13.9Birth injury to skeleton, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.