2020 ICD-10-CM Diagnosis Code P11.5

Birth injury to spine and spinal cord

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • P11.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM P11.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P11.5 - other international versions of ICD-10 P11.5 may differ.
ICD-10-CM Coding Rules
  • P11.5 should be used on the newborn record - not on the maternal record.
Applicable To
  • Fracture of spine due to birth injury
The following code(s) above P11.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P11.5:
  • P00-P96
    2020 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    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
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • 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)
    Certain conditions originating in the perinatal period
Approximate Synonyms
  • Spinal cord injury due to birth trauma
ICD-10-CM P11.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P11.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to P11.5:
  • Type 2 Excludes: P13
    ICD-10-CM Diagnosis Code P13

    Birth injury to skeleton

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • birth injury to spine (P11.5)

Diagnosis Index entries containing back-references to P11.5:
  • Birth
    • injury NOS P15.9
      ICD-10-CM Diagnosis Code P15.9

      Birth injury, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • Dislocation (articular)
    • spine
      • due to birth trauma P11.5
  • Fracture, traumatic (abduction) (adduction) (separation) T14.8
    - see also Fracture, pathological
    ICD-10-CM Diagnosis Code T14.8

    Other injury of unspecified body region

      2016 2017 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Abrasion NOS
    • Contusion NOS
    • Crush injury NOS
    • Fracture NOS
    • Skin injury NOS
    • Vascular injury NOS
    • Wound NOS
    • vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)
      • newborn P11.5 (birth injury)
  • Hematoma (traumatic) (skin surface intact) - see also Contusion
  • Hematomyelia (central) G95.19
    ICD-10-CM Diagnosis Code G95.19

    Other vascular myelopathies

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Edema of spinal cord
    • Hematomyelia
    • Nonpyogenic intraspinal phlebitis and thrombophlebitis
    • Subacute necrotic myelopathy
    • newborn P11.5 (birth injury)
  • Hematorachis, hematorrhachis G95.19
    ICD-10-CM Diagnosis Code G95.19

    Other vascular myelopathies

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Edema of spinal cord
    • Hematomyelia
    • Nonpyogenic intraspinal phlebitis and thrombophlebitis
    • Subacute necrotic myelopathy
    • newborn P11.5 (birth injury)
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)
    • spinal (cord) G95.19
      ICD-10-CM Diagnosis Code G95.19

      Other vascular myelopathies

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Edema of spinal cord
      • Hematomyelia
      • Nonpyogenic intraspinal phlebitis and thrombophlebitis
      • Subacute necrotic myelopathy
      • newborn P11.5 (birth injury)
  • Laceration
  • Paralysis, paralytic (complete) (incomplete) G83.9
    ICD-10-CM Diagnosis Code G83.9

    Paralytic syndrome, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • birth injury P14.9
      ICD-10-CM Diagnosis Code P14.9

      Birth injury to peripheral nervous system, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
      • spinal cord P11.5
  • Rupture, ruptured

ICD-10-CM Codes Adjacent To P11.5
P10.3 Subarachnoid hemorrhage due to birth injury
P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and hemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and hemorrhage due to birth injury
P11 Other birth injuries to central nervous system
P11.0 Cerebral edema due to birth injury
P11.1 Other specified brain damage due to birth injury
P11.2 Unspecified brain damage due to birth injury
P11.3 Birth injury to facial nerve
P11.4 Birth injury to other cranial nerves
P11.5 Birth injury to spine and spinal cord
P11.9 Birth injury to central nervous system, unspecified
P12 Birth injury to scalp
P12.0 Cephalhematoma due to birth injury
P12.1 Chignon (from vacuum extraction) due to birth injury
P12.2 Epicranial subaponeurotic hemorrhage due to birth injury
P12.3 Bruising of scalp due to birth injury
P12.4 Injury of scalp of newborn due to monitoring equipment
P12.8 Other birth injuries to scalp
P12.81 Caput succedaneum
P12.89 Other birth injuries to scalp

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.