Coding and coverage · ICD-10-CM

P36 Bacterial sepsis of newborn

Not billable (header)Chapter 16

Report one of the more specific codes below.

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Codes under this one

  • P36.0 Sepsis of newborn due to streptococcus, group B
  • P36.1 Sepsis of newborn due to other and unspecified streptococciHeader
  • P36.2 Sepsis of newborn due to Staphylococcus aureus
  • P36.3 Sepsis of newborn due to other and unspecified staphylococciHeader
  • P36.4 Sepsis of newborn due to Escherichia coli
  • P36.5 Sepsis of newborn due to anaerobes
  • P36.8 Other bacterial sepsis of newborn
  • P36.9 Bacterial sepsis of newborn, 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

Section P35-P39

Excludes2Not included here: the patient may have both; report both when both are present.
  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • congenital gonococcal infection (A54.-)
  • congenital pneumonia (P23.-)
  • congenital syphilis (A50.-)
  • human immunodeficiency virus [HIV] disease (B20)
  • infant botulism (A48.51)
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease (A00-A09)
  • laboratory evidence of human immunodeficiency virus [HIV] (R75)
  • tetanus neonatorum (A33)
Inclusion terms
  • Infections acquired in utero, during birth via the umbilicus, or during the first 28 days after birth

This code

Use additional codeAdd a second code for the full picture.
  • code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)
Includes
  • congenital sepsis

Chapter 16: Certain conditions originating in the perinatal period · P35-P39 Infections specific to the perinatal period (P35-P39)

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.