Is ICD-10-CM code P92 billable?

No, P92 (Feeding problems of newborn) 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 P92 belong to?

P92 belongs to Chapter 16 of the ICD-10-CM tabular list: P00–P96 (Certain Conditions Originating in the Perinatal Period).

P92Not billable, use a more specific code below

Feeding problems of newborn

In Other disorders originating in the perinatal period (P90-P96), chapter 16: Certain Conditions Originating in the Perinatal Period

10 billable codes under P92: 1 is an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

eating disorders (F50.-)

Excludes2: not included here, code separately if applicable

feeding problems in child over 28 days old (R63.3-)

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 P92

P92 can't be used on a claim. Pick a billable code below; grey headings group them.

P92 MS-DRGs

As the principal diagnosis, the billable codes under P92 group to MS-DRG 795, 640, 641, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 795 Normal Newborn (8 of 10 codes)
DRG 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (1 of 10 codes)
DRG 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (1 of 10 codes)
DRG 791 Prematurity with Major Problems (1 of 10 codes)
DRG 793 Full Term Neonate with Major Problems (1 of 10 codes)

Other codes that refer to P92

Notes on these codes point to P92.

E63 Excludes2: feeding problems in newborn (P92.-)
F50 Excludes1: feeding problems of newborn (P92.-)
F98.2 Excludes2: feeding problems of newborn (P92.-)
R63.3 Excludes2: feeding problems of newborn (P92.-)

About the condition

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

Common Infant and Newborn Problems

It is hard when your baby is sick. Common health problems in babies include colds, coughs, fevers, and vomiting. Babies also commonly have skin problems, like diaper rash or cradle cap.

Infant and Newborn Nutrition

Food provides the energy and nutrients that babies need to be healthy. For a baby, breast milk is best. It has all the necessary vitamins and minerals. Infant formulas are available for babies whose mothers are not able to or decide not to breastfeed.

Code history

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