ICDcodes.org
FY2027

P36.1 — Sepsis of newborn due to other and unspecified streptococci

Not billable

Is P36.1 billable?

No — P36.1 is a non-billable header code. P36.1 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 2 billable codes beneath P36.1.

P36.1 at a glance

CodeP36.1
DescriptionSepsis of newborn due to other and unspecified streptococci
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Use additional code — inherited from P36

Report an additional code alongside P36.1 to fully describe the condition. P36.1 is sequenced first.

  • code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)

Excludes2 — not included here — inherited from Chapter 16

The conditions below are not part of P36.1, but a patient may have both at the same time. When documentation supports it, P36.1 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 P35-P39

The conditions below are not part of P36.1, but a patient may have both at the same time. When documentation supports it, P36.1 and the excluded code may both be reported.

  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • congenital gonococcal infection (A54.-)
  • congenital pneumonia (P23.-)
  • congenital syphilis (A50.-)
  • human immunodeficiency virus [HIV] disease (B20)
  • infant botulism (A48.51)
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease (A00-A09)
  • laboratory evidence of human immunodeficiency virus [HIV] (R75)
  • tetanus neonatorum (A33)

What codes fall under P36.1? (2)

How long has P36.1 existed?

P36.1 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.

Which codes are confused with P36.1?

ICD-10-CM declares these codes mutually exclusive with P36.1 — exactly one of each pair can be correct for a given encounter.

What other codes are in the P36 family? (7)