2021 ICD-10-CM Diagnosis Code P39.4

Neonatal skin infection

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P39.4 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 P39.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P39.4 - other international versions of ICD-10 P39.4 may differ.
ICD-10-CM Coding Rules
  • P39.4 should be used on the newborn record - not on the maternal record.
Applicable To
  • Neonatal pyoderma
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P39.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • pemphigus neonatorum (
    ICD-10-CM Diagnosis Code L00

    Staphylococcal scalded skin syndrome

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Ritter's disease
    Type 1 Excludes
    • bullous impetigo (L01.03)
    • pemphigus neonatorum (L01.03)
    • toxic epidermal necrolysis [Lyell] (L51.2)
    Use Additional
    • code to identify percentage of skin exfoliation (L49.-)
    L00
    )
  • staphylococcal scalded skin syndrome (
    ICD-10-CM Diagnosis Code L00

    Staphylococcal scalded skin syndrome

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Ritter's disease
    Type 1 Excludes
    • bullous impetigo (L01.03)
    • pemphigus neonatorum (L01.03)
    • toxic epidermal necrolysis [Lyell] (L51.2)
    Use Additional
    • code to identify percentage of skin exfoliation (L49.-)
    L00
    )
The following code(s) above P39.4 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 P39.4:
  • 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
  • P35-P39
    2021 ICD-10-CM Range P35-P39

    Infections specific to the perinatal period

    Applicable To
    • Infections acquired in utero, during birth via the umbilicus, or during the first 28 days after birth
    Type 2 Excludes
    • 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)
    Infections specific to the perinatal period
  • P39
    ICD-10-CM Diagnosis Code P39

    Other infections specific to the perinatal period

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify organism or specific infection
    Other infections specific to the perinatal period
ICD-10-CM P39.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P39.4 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 P39.4:
  • Type 1 Excludes: P83
    ICD-10-CM Diagnosis Code P83

    Other conditions of integument specific to newborn

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital malformations of skin and integument (Q80-Q84)
    • hydrops fetalis due to hemolytic disease (P56.-)
    • neonatal skin infection (P39.4)
    • staphylococcal scalded skin syndrome (L00)
    Type 2 Excludes
    • cradle cap (L21.0)
    • diaper [napkin] dermatitis (L22)

Diagnosis Index entries containing back-references to P39.4:
  • Infection, infected, infective (opportunistic) B99.9
    ICD-10-CM Diagnosis Code B99.9

    Unspecified infectious disease

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • congenital P39.9
      ICD-10-CM Diagnosis Code P39.9

      Infection specific to the perinatal period, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
      • skin P39.4
    • newborn P39.9
      ICD-10-CM Diagnosis Code P39.9

      Infection specific to the perinatal period, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
      • skin P39.4
    • skin (local) (staphylococcal) (streptococcal) L08.9
      ICD-10-CM Diagnosis Code L08.9

      Local infection of the skin and subcutaneous tissue, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      • newborn P39.4
  • Pyoderma, pyodermia L08.0
    ICD-10-CM Diagnosis Code L08.0

    Pyoderma

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Dermatitis gangrenosa
    • Purulent dermatitis
    • Septic dermatitis
    • Suppurative dermatitis
    Type 1 Excludes
    • pyoderma gangrenosum (L88)
    • pyoderma vegetans (L08.81)
    • newborn P39.4

ICD-10-CM Codes Adjacent To P39.4
P37.8 Other specified congenital infectious and parasitic diseases
P37.9 Congenital infectious or parasitic disease, unspecified
P38 Omphalitis of newborn
P38.1 Omphalitis with mild hemorrhage
P38.9 Omphalitis without hemorrhage
P39 Other infections specific to the perinatal period
P39.0 Neonatal infective mastitis
P39.1 Neonatal conjunctivitis and dacryocystitis
P39.2 Intra-amniotic infection affecting newborn, not elsewhere classified
P39.3 Neonatal urinary tract infection
P39.4 Neonatal skin infection
P39.8 Other specified infections specific to the perinatal period
P39.9 Infection specific to the perinatal period, unspecified
P50 Newborn affected by intrauterine (fetal) blood loss
P50.0 Newborn affected by intrauterine (fetal) blood loss from vasa previa
P50.1 Newborn affected by intrauterine (fetal) blood loss from ruptured cord
P50.2 Newborn affected by intrauterine (fetal) blood loss from placenta
P50.3 Newborn affected by hemorrhage into co-twin
P50.4 Newborn affected by hemorrhage into maternal circulation
P50.5 Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cord
P50.8 Newborn affected by other intrauterine (fetal) blood loss

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