ICDcodes.org
FY2027

P03.4 — Newborn affected by Cesarean delivery

Billable

Is P03.4 billable?

Yes — P03.4 is billable for FY2027. P03.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P03.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

P03.4 at a glance

CodeP03.4
DescriptionNewborn affected by Cesarean delivery
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does P03.4 group to?

P03.4 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.

  • 791Prematurity with Major Problemsmedical

How is P03.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to P03.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Newborn › affected by › Cesarean delivery (infant) (liveborn) (singleton)
  • Newborn › affected by › delivery › Cesarean (infant) (liveborn) (singleton)
  • Newborn › affected by › maternal › delivery › Cesarean (infant) (liveborn) (singleton)

Code first — inherited from P03

The underlying condition below must be sequenced before P03.4. P03.4 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 P03.4, but a patient may have both at the same time. When documentation supports it, P03.4 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 P03

The conditions below are not part of P03.4, but a patient may have both at the same time. When documentation supports it, P03.4 and the excluded code may both be reported.

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

How long has P03.4 existed?

P03.4 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 Cesarean delivery
    Newborn affected by Cesarean delivery

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

Which codes are confused with P03.4?

ICD-10-CM declares these codes mutually exclusive with P03.4 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to P03.4?

What other codes are in the P03 family? (8)