Coding and coverage · ICD-10-CM
P09.5 Abnormal findings on neonatal screening for critical congenital heart disease
Instructional notes
Chapter 16
Excludes2Not included here: the patient may have both; report both when both are present.
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
P09
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
This code
Inclusion terms
- Neonatal congenital heart disease screening failure
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.