2020 ICD-10-CM Diagnosis Code P96.9

Condition originating in the perinatal period, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • P96.9 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 P96.9 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P96.9 - other international versions of ICD-10 P96.9 may differ.
ICD-10-CM Coding Rules
  • P96.9 should be used on the newborn record - not on the maternal record.
Applicable To
  • Congenital debility NOS
The following code(s) above P96.9 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 P96.9:
  • 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
Clinical Information
  • A disorder occurring during the period from about five months before birth to one month after birth.
ICD-10-CM P96.9 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 794 Neonate with other significant problems

Convert P96.9 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 P96.9:
  • Type 1 Excludes: R53.8
    ICD-10-CM Diagnosis Code R53.8

    Other malaise and fatigue

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • combat exhaustion and fatigue (F43.0)
    • congenital debility (P96.9)
    • exhaustion and fatigue due to excessive exertion (T73.3)
    • exhaustion and fatigue due to exposure (T73.2)
    • exhaustion and fatigue due to heat (T67.-)
    • exhaustion and fatigue due to pregnancy (O26.8-)
    • exhaustion and fatigue due to recurrent depressive episode (F33)
    • exhaustion and fatigue due to senile debility (R54)

Diagnosis Index entries containing back-references to P96.9:
  • Debility (chronic) (general) (nervous) R53.81
    ICD-10-CM Diagnosis Code R53.81

    Other malaise

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Chronic debility
    • Debility NOS
    • General physical deterioration
    • Malaise NOS
    • Nervous debility
    Type 1 Excludes
    • age-related physical debility (R54)
    • congenital or neonatal NOS P96.9

ICD-10-CM Codes Adjacent To P96.9
P96.0 Congenital renal failure
P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn
P96.3 Wide cranial sutures of newborn
P96.5 Complication to newborn due to (fetal) intrauterine procedure
P96.8 Other specified conditions originating in the perinatal period
P96.81 Exposure to (parental) (environmental) tobacco smoke in the perinatal period
P96.82 Delayed separation of umbilical cord
P96.83 Meconium staining
P96.89 Other specified conditions originating in the perinatal period
P96.9 Condition originating in the perinatal period, unspecified
Q00 Anencephaly and similar malformations
Q00.0 Anencephaly
Q00.1 Craniorachischisis
Q00.2 Iniencephaly
Q01 Encephalocele
Q01.0 Frontal encephalocele
Q01.1 Nasofrontal encephalocele
Q01.2 Occipital encephalocele
Q01.8 Encephalocele of other sites
Q01.9 Encephalocele, unspecified

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