2021 ICD-10-CM Diagnosis Code P23.6

Congenital pneumonia due to other bacterial agents

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P23.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM P23.6 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P23.6 - other international versions of ICD-10 P23.6 may differ.
ICD-10-CM Coding Rules
  • P23.6 should be used on the newborn record - not on the maternal record.
Applicable To
  • 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
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (
    ICD-10-CM Diagnosis Code B95

    Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    B95
    -
    ICD-10-CM Diagnosis Code B96

    Other bacterial agents as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    B96
    ) to identify organism
The following code(s) above P23.6 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 P23.6:
  • P00-P96
    2021 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
  • P23
    ICD-10-CM Diagnosis Code P23

    Congenital pneumonia

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • infective pneumonia acquired in utero or during birth
    Type 1 Excludes
    • neonatal pneumonia resulting from aspiration (P24.-)
    Congenital pneumonia
ICD-10-CM P23.6 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P23.6 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
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to P23.6:
  • Type 1 Excludes: J13
    , J14
    ICD-10-CM Diagnosis Code J13

    Pneumonia due to Streptococcus pneumoniae

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to S. pneumoniae
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia due to S. pneumoniae (P23.6)
    • lobar pneumonia, unspecified organism (J18.1)
    • pneumonia due to other streptococci (J15.3-J15.4)
    ICD-10-CM Diagnosis Code J14

    Pneumonia due to Hemophilus influenzae

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to H. influenzae
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia due to H. influenzae (P23.6)

Diagnosis Index entries containing back-references to P23.6:
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • congenital (infective) P23.9
      ICD-10-CM Diagnosis Code P23.9

      Congenital pneumonia, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
      • due to
        • Streptococcus (except group B) P23.6
        • bacterium NEC P23.6
        • Haemophilus influenzae P23.6
        • Klebsiella pneumoniae P23.6
        • Mycoplasma P23.6

ICD-10-CM Codes Adjacent To P23.6
P22.1 Transient tachypnea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified
P23 Congenital pneumonia
P23.0 Congenital pneumonia due to viral agent
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified
P24 Neonatal aspiration
P24.0 Meconium aspiration
P24.00 …… without respiratory symptoms
P24.01 …… with respiratory symptoms
P24.1 Neonatal aspiration of (clear) amniotic fluid and mucus
P24.10 …… without respiratory symptoms
P24.11 …… with respiratory symptoms
P24.2 Neonatal aspiration of blood

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