ICD-10 · PDGM grouping

P90-P96 — Other disorders originating in the perinatal period

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

47

No clinical group

7

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

36 of the 47 codes in P90-P96 group to MMTA - Other, but the range is not uniform — it spreads across 2 clinical groups. A further 7 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in P90-P96

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
P90Convulsions of newbornAAccepted
P910Neonatal cerebral ischemiaAAccepted
P911Acquired periventricular cysts of newbornAAccepted
P912Neonatal cerebral leukomalaciaAAccepted
P913Neonatal cerebral irritabilityAAccepted
P914Neonatal cerebral depressionAAccepted
P915Neonatal comaAAccepted
P9160Hypoxic ischemic encephalopathy [HIE], unspecifiedAAccepted
P9161Mild hypoxic ischemic encephalopathy [HIE]AAccepted
P9162Moderate hypoxic ischemic encephalopathy [HIE]AAccepted
P9163Severe hypoxic ischemic encephalopathy [HIE]AAccepted
P91811Neonatal encephalopathy in diseases classified elsewhereNoneCannot group
P91819Neonatal encephalopathy, unspecifiedAAccepted
P91821Neonatal cerebral infarction, right side of brainBAccepted
P91822Neonatal cerebral infarction, left side of brainBAccepted
P91823Neonatal cerebral infarction, bilateralBAccepted
P91829Neonatal cerebral infarction, unspecified sideBAccepted
P9188Other specified disturbances of cerebral status of newbornAAccepted
P919Disturbance of cerebral status of newborn, unspecifiedNoneCannot group
P9201Bilious vomiting of newbornAAccepted
P9209Other vomiting of newbornAAccepted
P921Regurgitation and rumination of newbornAAccepted
P922Slow feeding of newbornAAccepted
P923Underfeeding of newbornAAccepted
P924Overfeeding of newbornAAccepted
P925Neonatal difficulty in feeding at breastAAccepted
P926Failure to thrive in newbornAAccepted
P928Other feeding problems of newbornAAccepted
P929Feeding problem of newborn, unspecifiedNoneCannot group
P930Grey baby syndromeAAccepted
P938Oth reactions and intoxications d/t drugs administered to NBAAccepted
P940Transient neonatal myasthenia gravisAAccepted
P941Congenital hypertoniaAAccepted
P942Congenital hypotoniaAAccepted
P948Other disorders of muscle tone of newbornAAccepted
P949Disorder of muscle tone of newborn, unspecifiedNoneCannot group
P95StillbirthNoneCannot group
P960Congenital renal failureAAccepted
P961Neonatal w/drawal symp from matern use of drugs of addictionAAccepted
P962Withdrawal symptoms from therapeutic use of drugs in newbornAAccepted
P963Wide cranial sutures of newbornAAccepted
P965Comp to newborn due to (fetal) intrauterine procedureAAccepted
P9681Expsr to (environmental) tobacco smoke in the perinat periodAAccepted
P9682Delayed separation of umbilical cordAAccepted
P9683Meconium stainingNoneCannot group
P9689Oth conditions originating in the perinatal periodAAccepted
P969Condition originating in the perinatal period, unspecifiedNoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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