P38

Non-Billable
ChapterP00–P96
Rankcategory
Official Description

Omphalitis of newborn

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)

P35-P39 Parent Instructions

Includes
  • Infections acquired in utero, during birth via the umbilicus, or during the first 28 days after birth
Excludes2(Not included here. Code separately if applicable.)
  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • congenital gonococcal infection (A54.-)
  • congenital pneumonia (P23.-)
  • congenital syphilis (A50.-)
  • human immunodeficiency virus [HIV] disease (B20)
  • infant botulism (A48.51)
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease (A00-A09)
  • laboratory evidence of human immunodeficiency virus [HIV] (R75)
  • tetanus neonatorum (A33)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • omphalitis not of newborn (L08.82)
  • tetanus omphalitis (A33)
  • umbilical hemorrhage of newborn (P51.-)

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P35-P39Infections specific to the perinatal period (P35-P39)
P38Omphalitis of newbornNot billable
P38.1Omphalitis with mild hemorrhageBillable
P38.9Omphalitis without hemorrhageBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P38:

blockP35-P39
Infections specific to the perinatal period (P35-P39)
View context instructions
chapterCH16
Certain conditions originating in the perinatal period (P00-P96)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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