Coding and coverage · ICD-10-CM

P09 Abnormal findings on neonatal screening

Not billable (header)Chapter 16

Report one of the more specific codes below.

Check coverage with this diagnosis

Codes under this one

  • P09.1 Abnormal findings on neonatal screening for inborn errors of metabolism
  • P09.2 Abnormal findings on neonatal screening for congenital endocrine disease
  • P09.3 Abnormal findings on neonatal screening for congenital hematologic disorders
  • P09.4 Abnormal findings on neonatal screening for cystic fibrosis
  • P09.5 Abnormal findings on neonatal screening for critical congenital heart disease
  • P09.6 Abnormal findings on neonatal hearing screening
  • P09.8 Other abnormal findings on neonatal screening
  • P09.9 Abnormal findings on neonatal screening, unspecified

Instructional notes

Chapter 16

Excludes2Not included here: the patient may have both; report both when both are present.
  • 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)
Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Notes
  • Codes from this chapter are for use on newborn records only, never on maternal records

This code

Excludes2Not included here: the patient may have both; report both when both are present.
  • nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
Includes
  • Abnormal findings on state mandated newborn screens
  • Failed newborn screening

Chapter 16: Certain conditions originating in the perinatal period · P09 Abnormal findings on neonatal screening (P09)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.