ICDcodes.org
FY2027

P02.9 — Newborn affected by abnormality of membranes, unspecified

BillableUnspecified

Is P02.9 billable?

Yes, but P02.9 is an unspecified code. P02.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, P02.9 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 P02.9 — the more specific alternatives are listed below.

P02.9 at a glance

CodeP02.9
DescriptionNewborn affected by abnormality of membranes, unspecified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does P02.9 group to?

P02.9 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 P02.9 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to P02.9. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Newborn › affected by › abnormalities of membranes (infant) (liveborn) (singleton)
  • Newborn › affected by › membrane abnormalities (infant) (liveborn) (singleton)

Code first — inherited from P02

The underlying condition below must be sequenced before P02.9. P02.9 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 P02.9, but a patient may have both at the same time. When documentation supports it, P02.9 and the excluded code may both be reported.

  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Excludes2 — not included here — inherited from P02

The conditions below are not part of P02.9, but a patient may have both at the same time. When documentation supports it, P02.9 and the excluded code may both be reported.

  • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)

How long has P02.9 existed?

P02.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Description changes
  • FY2018
    Newborn (suspected to be) affected by abnormality of membranes, unspecified
    Newborn affected by abnormality of membranes, unspecified

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to P02.9?

What other codes are in the P02 family? (9)