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    v1.0.28
    OpenPayerBilling CodesBirth traumaICD-10-CM p13-birth-injury-to-skeleton
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    ICD-10-CM Code For Birth Injury To Skeleton: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P13 includes skeletal injuries to the newborn caused by birth trauma, such as fractures of the clavicle, long bones, or other bony structures. These ICD-10-CM diagnosis codes are used to document neonatal skeletal trauma, capturing injury location, laterality, and clinical complexity relevant to the delivery-related injury. Accurate coding within the ICD-10-CM P13 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM P13: Birth Injury To Skeleton Overview

    This group includes skeletal injuries to the newborn resulting from birth-related trauma, such as fractures of long bones, clavicle, or other bony structures. These diagnoses target the musculoskeletal system of neonates and capture traumatic injuries sustained during delivery. Accurate coding is important for clinical records, quality reporting, and proper reimbursement adjudication.

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    When to Use

    Use a code from this group when a newborn is diagnosed with a skeletal fracture or bony injury attributable to the birth process. Assign codes that reflect the exact anatomic site and laterality documented in the clinical record to support claims and clinical documentation.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    P13.0Fracture of skull due to birth injury
    P13.1Other birth injuries to skull
    P13.2Birth injury to femur
    P13.3Birth injury to other long bones
    P13.4Fracture of clavicle due to birth injury
    P13.8Birth injuries to other parts of skeleton
    P13.9Birth injury to skeleton, unspecified

    DRG Codes

    1 rows

    DRG CodeDescription
    794Neonate with Other Significant Problems

    Typical Clinical Scenarios

    • A term newborn is noted immediately after a difficult, assisted vaginal delivery with forceps to have localized swelling, tenderness, and decreased movement of the left clavicle; radiographs confirm a nondisplaced midshaft clavicular fracture. The infant is evaluated in the newborn nursery for pain control and feeding difficulty related to the injury; the event is documented as birth-related skeletal trauma and the fracture code is assigned. Typical codes: P13.0, P13.9.
    • A late-preterm infant presents to the neonatal intensive care unit with asymmetry of the skull, palpable depression, and irritability after a prolonged, malpresentation delivery; skull radiograph shows a linear parietal skull fracture without intracranial hemorrhage. The neonate is monitored for neurologic status and healing of the calvarial fracture; a birth-related skull injury diagnosis is used to capture the skeletal birth trauma. Typical codes: P13.1, P13.9.
    • An infant seen at two weeks of age in outpatient follow-up has persistent decreased movement of the right upper extremity and radiographs demonstrate healing periosteal reaction along the humeral shaft consistent with a birth-associated long bone fracture that was initially managed conservatively. Because the presentation represents a postnatal evaluation of a skeletal injury sustained at delivery, a birth injury to a long bone code is assigned to document the complication from birth. Typical codes: P13.2, P13.9.

    Related Codes

    P10-INTRACRANIAL-LACERATION-AND-HEMORRHAGE

    ICD-10-CM Code For Intracranial Laceration And Hemorrhage Due To Birth Injury: Group Overview

    P11-OTHER-BIRTH-INJURIES-TO-CENTRAL-NERVOUS-SYSTEM

    ICD-10-CM Code For Other Birth Injuries To Central Nervous System: Group Overview

    P12-BIRTH-INJURY-TO-SCALP

    ICD-10-CM Code For Birth Injury To Scalp: Group Overview

    P15-OTHER-BIRTH-INJURIES

    ICD-10-CM Code For Other Birth Injuries: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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