P23.6 Congenital pneumonia due to other bacterial agents

BillableNo payment HCCChapter 16

Check coverage with this diagnosis

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

P23

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

neonatal pneumonia resulting from aspiration (P24.-)

Includes

infective pneumonia acquired in utero or during birth

This code

Use additional codeAdd a second code for the full picture.

code (B95-B96) to identify organism

Inclusion terms

Congenital pneumonia due to Hemophilus influenzae
Congenital pneumonia due to Klebsiella pneumoniae
Congenital pneumonia due to Mycoplasma
Congenital pneumonia due to Streptococcus, except group B

Chapter 16: Certain conditions originating in the perinatal period · P19-P29 Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)

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.