Coding and coverage · ICD-10-CM

P91 › P91.6

P91.60 Hypoxic ischemic encephalopathy [HIE], unspecified

BillableCMS-HCC V28: HCC 202Chapter 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

P91.6

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • Neonatal cerebral depression (P91.4)
  • Neonatal cerebral irritability (P91.3)
  • Neonatal coma (P91.5)

Chapter 16: Certain conditions originating in the perinatal period · P90-P96 Other disorders originating in the perinatal period (P90-P96)

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.