P39.4 — Neonatal skin infection
Is P39.4 billable?
Yes — P39.4 is billable for FY2027. P39.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P39.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
P39.4 at a glance
| Code | P39.4 |
|---|---|
| Description | Neonatal skin infection |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P39.4 group to?
P39.4 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
As a secondary diagnosis, P39.4 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is P39.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P39.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pyoderma, pyodermia › newborn
- Infection, infected, infective › congenital › skin (opportunistic)
- Infection, infected, infective › newborn › skin (opportunistic)
- Infection, infected, infective › skin › newborn (opportunistic)
Excludes1 — never code together
The conditions below can never be reported together with P39.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to P39.4.
- Neonatal pyoderma
Use additional code — inherited from P39
Report an additional code alongside P39.4 to fully describe the condition. P39.4 is sequenced first.
- code to identify organism or specific infection
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P39.4, but a patient may have both at the same time. When documentation supports it, P39.4 and the excluded code may both be reported.
Excludes2 — not included here — inherited from P35-P39
The conditions below are not part of P39.4, but a patient may have both at the same time. When documentation supports it, P39.4 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)
How long has P39.4 existed?
P39.4 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 P39.4?
ICD-10-CM declares these codes mutually exclusive with P39.4 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to P39.4?
What other codes are in the P39 family? (6)
- P39.0Neonatal infective mastitis
- P39.1Neonatal conjunctivitis and dacryocystitis
- P39.2Intra-amniotic infection affecting newborn, not elsewhere classified
- P39.3Neonatal urinary tract infection
- P39.8Other specified infections specific to the perinatal period
- P39.9Infection specific to the perinatal period, unspecified