2025 ICD-10-CM code P96
This code encompasses other conditions originating in the perinatal period not classified elsewhere.
Medical necessity should be established by demonstrating that the newborn's condition is a direct result of the perinatal period and requires specialized care or monitoring.
Diagnosis and care of the newborn by neonatologists, pediatricians, or other healthcare professionals specializing in newborn care.
- XVI Certain conditions originating in the perinatal period
- P90-P96 Other disorders originating in the perinatal period
In simple words: This code represents other health problems that begin before, during, or shortly after birth and don't fit into other categories.
This code is used for conditions originating during the perinatal period (from before birth through the first 28 days after birth) that do not have a more specific code assignment within the P00-P96 range.It is crucial to remember that this code is exclusively for newborn records and should never be used on maternal records.
Example 1: A newborn experiences feeding difficulties or unstable body temperature not attributable to any other specific perinatal condition., A newborn presents with unusual symptoms or physiological findings shortly after birth that cannot be classified under a more specific diagnosis., A newborn has minor complications related to the birthing process not covered by other codes, such as minor bruising or swelling.
Thorough documentation of the newborn's condition, including specific symptoms, onset, duration, and any contributing factors. Rule out other more specific perinatal conditions before using P96.
** This code should be used cautiously and only when no other more specific code applies.Proper documentation is essential to support the use of this code.
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Birthing Center