P23 — Congenital pneumonia
Is P23 billable?
No — P23 is a non-billable header code. P23 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath P23.
Billable codes under this header
- P23.0Congenital pneumonia due to viral agent
- P23.1Congenital pneumonia due to Chlamydia
- P23.2Congenital pneumonia due to staphylococcus
- P23.3Congenital pneumonia due to streptococcus, group B
- P23.4Congenital pneumonia due to Escherichia coli
- P23.5Congenital pneumonia due to Pseudomonas
- P23.6Congenital pneumonia due to other bacterial agents
- P23.8Congenital pneumonia due to other organisms
- P23.9Congenital pneumonia, unspecified
P23 at a glance
| Code | P23 |
|---|---|
| Description | Congenital pneumonia |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with P23 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neonatal pneumonia resulting from aspiration (P24.-)
Includes
Conditions classified to P23.
- infective pneumonia acquired in utero or during birth
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P23, but a patient may have both at the same time. When documentation supports it, P23 and the excluded code may both be reported.
What codes fall under P23? (9)
- P23.0Congenital pneumonia due to viral agent
- P23.1Congenital pneumonia due to Chlamydia
- P23.2Congenital pneumonia due to staphylococcus
- P23.3Congenital pneumonia due to streptococcus, group B
- P23.4Congenital pneumonia due to Escherichia coli
- P23.5Congenital pneumonia due to Pseudomonas
- P23.6Congenital pneumonia due to other bacterial agents
- P23.8Congenital pneumonia due to other organisms
- P23.9Congenital pneumonia, unspecified
How long has P23 existed?
P23 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.