P00.5 — Newborn affected by maternal injury
Is P00.5 billable?
Yes — P00.5 is billable for FY2027. P00.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P00.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
P00.5 at a glance
| Code | P00.5 |
|---|---|
| Description | Newborn affected by maternal injury |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P00.5 group to?
P00.5 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 794Neonate with Other Significant Problemsmedical
How is P00.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P00.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Newborn › affected by › maternal › injury (infant) (liveborn) (singleton)
Inclusion terms
Alternative wording in documentation that is classified to P00.5.
- Newborn affected by maternal conditions classifiable to O9A.2-
Code first — inherited from P00
The underlying condition below must be sequenced before P00.5. P00.5 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any current condition in newborn
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P00.5, but a patient may have both at the same time. When documentation supports it, P00.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from P00
The conditions below are not part of P00.5, but a patient may have both at the same time. When documentation supports it, P00.5 and the excluded code may both be reported.
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
- newborn affected by maternal complications of pregnancy (P01.-)
- newborn affected by maternal endocrine and metabolic disorders (P70-P74)
- newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
How long has P00.5 existed?
P00.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Newborn (suspected to be) affected by maternal injuryNewborn affected by maternal injury
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the P00 family? (9)
- P00.0Newborn affected by maternal hypertensive disorders
- P00.1Newborn affected by maternal renal and urinary tract diseases
- P00.2Newborn affected by maternal infectious and parasitic diseases
- P00.3Newborn affected by other maternal circulatory and respiratory diseases
- P00.4Newborn affected by maternal nutritional disorders
- P00.6Newborn affected by surgical procedure on mother
- P00.7Newborn affected by other medical procedures on mother, not elsewhere classified
- P00.8Newborn affected by other maternal conditionsnot billable
- P00.9Newborn affected by unspecified maternal condition