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    OpenPayerBilling CodesOther disorders originating in the perinatal periodICD-10-CM p96-other-conditions-originating-in-the-perinatal-period
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    ICD-10-CM Code For Other Conditions Originating In The Perinatal Period: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P96 includes miscellaneous neonatal conditions that originate in the perinatal period, covering complications such as hypoglycemia of newborn, neonatal aspiration syndromes, and other specified perinatal disorders. These ICD-10-CM diagnosis codes are used to document clinical situations in the newborn period, capturing severity, organ system involvement, and clinical complexity relevant to perinatal complications. Accurate coding within the ICD-10-CM P96 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM P96: Other Conditions Originating In The Perinatal Period Overview

    The ICD-10-CM P96 group captures miscellaneous neonatal conditions that originate in the perinatal period and do not fall into other specific perinatal categories. These diagnoses target complications and disorders present around the time of birth affecting multiple organ systems, such as metabolic, hematologic, or neurologic sequelae of the perinatal period. Accurate coding supports correct claim processing and ensures complete clinical documentation for neonatal care and reimbursement.

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    When to Use

    Use a code from this group when a newborn presents with a condition that originated in the perinatal period and is not included in more specific perinatal categories. Assign these codes to reflect the primary perinatal-related diagnosis documented by the treating clinician that affects newborn care and resource use.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    P96.0Congenital renal failure
    P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
    P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
    P96.3Wide cranial sutures of newborn
    P96.5Complication to newborn due to (fetal) intrauterine procedure
    P96.81Exposure to (parental) (environmental) tobacco smoke in the perinatal period
    P96.82Delayed separation of umbilical cord
    P96.83Meconium staining
    P96.89Other specified conditions originating in the perinatal period
    P96.9Condition originating in the perinatal period, unspecified

    DRG Codes

    4 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    794Neonate with Other Significant Problems
    795Normal Newborn

    Typical Clinical Scenarios

    • A term newborn in the first 48 hours of life presents with poor feeding, lethargy, hypothermia, and evidence of sepsis on laboratory testing after prolonged rupture of membranes and chorioamnionitis in the mother. The infant requires NICU admission for antibiotic therapy and supportive care; a perinatal-related infectious complication or sequela is coded because the problem originated in the perinatal period and is related to maternal infection. Typical codes: P96.2, P96.89
    • A late-preterm infant develops clinical signs of hypoglycemia and tremors in the first day of life following maternal gestational diabetes; blood glucose monitoring shows recurrent low glucose requiring intravenous dextrose and monitoring. The metabolic disturbance is a neonatal disorder originating in the perinatal period associated with maternal metabolic risk, so a code from this group is used to capture the newborn’s perinatal metabolic complication. Typical codes: P96.1, P96.9
    • An infant previously discharged from the nursery returns at two weeks of age with progressive jaundice, poor weight gain, and conjugated hyperbilirubinemia; workup suggests biliary atresia presenting in the neonatal period and requiring referral to pediatric surgery. Because the cholestatic liver disorder began in the perinatal/neonatal period and represents an early-life disorder necessitating further management, a code from this group is assigned to indicate an other disorder originating in the perinatal period. Typical codes: P96.0, P96.83

    Related Codes

    P90-CONVULSIONS-OF-NEWBORN

    ICD-10-CM Code For Convulsions Of Newborn: Group Overview

    P91-OTHER-DISTURBANCES-OF-CEREBRAL-STATUS

    ICD-10-CM Code For Other Disturbances Of Cerebral Status Of Newborn: Group Overview

    P92-FEEDING-PROBLEMS-OF-NEWBORN

    ICD-10-CM Code For Feeding Problems Of Newborn: Group Overview

    P93-REACTIONS-AND-INTOXICATIONS-DUE-TO-DRUGS-ADMINISTERED-TO-NEWBORN

    ICD-10-CM Code For Reactions And Intoxications Due To Drugs Administered To Newborn: Group Overview

    P94-DISORDERS-OF-MUSCLE-TONE

    ICD-10-CM Code For Disorders Of Muscle Tone Of Newborn: Group Overview

    P95-STILLBIRTH

    ICD-10-CM Code For Stillbirth: 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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