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 v07.2.26.
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.
Code families in P90-P96
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- P90Convulsions of newborn1 code
- P91Other disturbances of cerebral status of newborn18 codes
- P92Feeding problems of newborn10 codes
- P93Reactions and intoxications due to drugs administered to newborn2 codes
- P94Disorders of muscle tone of newborn5 codes
- P95Stillbirth1 code
- P96Other conditions originating in the perinatal period10 codes
Every code in P90-P96
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| P90 | Convulsions of newborn | A | Can lead a claim |
| P910 | Neonatal cerebral ischemia | A | Can lead a claim |
| P911 | Acquired periventricular cysts of newborn | A | Can lead a claim |
| P912 | Neonatal cerebral leukomalacia | A | Can lead a claim |
| P913 | Neonatal cerebral irritability | A | Can lead a claim |
| P914 | Neonatal cerebral depression | A | Can lead a claim |
| P915 | Neonatal coma | A | Can lead a claim |
| P9160 | Hypoxic ischemic encephalopathy [HIE], unspecified | A | Can lead a claim |
| P9161 | Mild hypoxic ischemic encephalopathy [HIE] | A | Can lead a claim |
| P9162 | Moderate hypoxic ischemic encephalopathy [HIE] | A | Can lead a claim |
| P9163 | Severe hypoxic ischemic encephalopathy [HIE] | A | Can lead a claim |
| P91811 | Neonatal encephalopathy in diseases classified elsewhere | None | Cannot lead a claim |
| P91819 | Neonatal encephalopathy, unspecified | A | Can lead a claim |
| P91821 | Neonatal cerebral infarction, right side of brain | B | Can lead a claim |
| P91822 | Neonatal cerebral infarction, left side of brain | B | Can lead a claim |
| P91823 | Neonatal cerebral infarction, bilateral | B | Can lead a claim |
| P91829 | Neonatal cerebral infarction, unspecified side | B | Can lead a claim |
| P9188 | Other specified disturbances of cerebral status of newborn | A | Can lead a claim |
| P919 | Disturbance of cerebral status of newborn, unspecified | None | Cannot lead a claim |
| P9201 | Bilious vomiting of newborn | A | Can lead a claim |
| P9209 | Other vomiting of newborn | A | Can lead a claim |
| P921 | Regurgitation and rumination of newborn | A | Can lead a claim |
| P922 | Slow feeding of newborn | A | Can lead a claim |
| P923 | Underfeeding of newborn | A | Can lead a claim |
| P924 | Overfeeding of newborn | A | Can lead a claim |
| P925 | Neonatal difficulty in feeding at breast | A | Can lead a claim |
| P926 | Failure to thrive in newborn | A | Can lead a claim |
| P928 | Other feeding problems of newborn | A | Can lead a claim |
| P929 | Feeding problem of newborn, unspecified | None | Cannot lead a claim |
| P930 | Grey baby syndrome | A | Can lead a claim |
| P938 | Oth reactions and intoxications d/t drugs administered to NB | A | Can lead a claim |
| P940 | Transient neonatal myasthenia gravis | A | Can lead a claim |
| P941 | Congenital hypertonia | A | Can lead a claim |
| P942 | Congenital hypotonia | A | Can lead a claim |
| P948 | Other disorders of muscle tone of newborn | A | Can lead a claim |
| P949 | Disorder of muscle tone of newborn, unspecified | None | Cannot lead a claim |
| P95 | Stillbirth | None | Cannot lead a claim |
| P960 | Congenital renal failure | A | Can lead a claim |
| P961 | Neonatal w/drawal symp from matern use of drugs of addiction | A | Can lead a claim |
| P962 | Withdrawal symptoms from therapeutic use of drugs in newborn | A | Can lead a claim |
| P963 | Wide cranial sutures of newborn | A | Can lead a claim |
| P965 | Comp to newborn due to (fetal) intrauterine procedure | A | Can lead a claim |
| P9681 | Expsr to (environmental) tobacco smoke in the perinat period | A | Can lead a claim |
| P9682 | Delayed separation of umbilical cord | A | Can lead a claim |
| P9683 | Meconium staining | None | Cannot lead a claim |
| P9689 | Oth conditions originating in the perinatal period | A | Can lead a claim |
| P969 | Condition originating in the perinatal period, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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