P01.1 vs P01.2
P01.1 (Newborn affected by premature rupture of membranes) compared with P01.2 (Newborn affected by oligohydramnios), 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. P01.2 carries an Excludes1 note covering P01.1: “oligohydramnios due to premature rupture of membranes (P01.1)”
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
| P01.1Newborn affected by premature rupture of membranes | P01.2Newborn affected by oligohydramnios | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Newborn affected by premature rupture of membranes is a billable ICD-10-CM diagnosis code (P01.1). | Newborn affected by oligohydramnios is a billable ICD-10-CM diagnosis code (P01.2). |
| Code first | any current condition in newborn | any current condition in newborn |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources