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Compare/E20 vs P71.4

E20 vs P71.4

E20 (Hypoparathyroidism) compared with P71.4 (Transitory neonatal hypoparathyroidism), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E20 carries an Excludes1 note covering P71.4: “transitory neonatal hypoparathyroidism (P71.4)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E20HypoparathyroidismP71.4Transitory neonatal hypoparathyroidism
Billing statusNon-billable header

Report instead: E20.0, E20.1, E20.810, E20.811, E20.812

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)
DefinitionHypoparathyroidism is a non-billable ICD-10-CM category code (E20).Transitory neonatal hypoparathyroidism is a billable ICD-10-CM diagnosis code (P71.4).
Includes
transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources