P01.9 — Newborn affected by maternal complication of pregnancy, unspecified
Is P01.9 billable?
Yes, but P01.9 is an unspecified code. P01.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, P01.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting P01.9 — the more specific alternatives are listed below.
More specific alternatives
- P01.0Newborn affected by incompetent cervix
- P01.1Newborn affected by premature rupture of membranes
- P01.2Newborn affected by oligohydramnios
- P01.3Newborn affected by polyhydramnios
- P01.4Newborn affected by ectopic pregnancy
- P01.5Newborn affected by multiple pregnancy
- P01.6Newborn affected by maternal death
- P01.7Newborn affected by malpresentation before labor
- P01.8Newborn affected by other maternal complications of pregnancy
P01.9 at a glance
| Code | P01.9 |
|---|---|
| Description | Newborn affected by maternal complication of pregnancy, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P01.9 group to?
P01.9 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 P01.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P01.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Newborn › affected by › maternal › pregnancy (infant) (liveborn) (singleton)
Code first — inherited from P01
The underlying condition below must be sequenced before P01.9. P01.9 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 P01.9, but a patient may have both at the same time. When documentation supports it, P01.9 and the excluded code may both be reported.
Excludes2 — not included here — inherited from P01
The conditions below are not part of P01.9, but a patient may have both at the same time. When documentation supports it, P01.9 and the excluded code may both be reported.
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
How long has P01.9 existed?
P01.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Newborn (suspected to be) affected by maternal complication of pregnancy, unspecifiedNewborn affected by maternal complication of pregnancy, unspecified
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 P01 family? (9)
- P01.0Newborn affected by incompetent cervix
- P01.1Newborn affected by premature rupture of membranes
- P01.2Newborn affected by oligohydramnios
- P01.3Newborn affected by polyhydramnios
- P01.4Newborn affected by ectopic pregnancy
- P01.5Newborn affected by multiple pregnancy
- P01.6Newborn affected by maternal death
- P01.7Newborn affected by malpresentation before labor
- P01.8Newborn affected by other maternal complications of pregnancy