P12.0 vs P13.1
P12.0 (Cephalhematoma due to birth injury) compared with P13.1 (Other birth injuries to skull), 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. P13.1 carries an Excludes1 note covering P12.0: “cephalhematoma (P12.0)”
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
| P12.0Cephalhematoma due to birth injury | P13.1Other birth injuries to skull | |
|---|---|---|
| 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 | Cephalhematoma due to birth injury is a billable ICD-10-CM diagnosis code (P12.0). | Other birth injuries to skull is a billable ICD-10-CM diagnosis code (P13.1). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources