P38 vs R75
P38 (Omphalitis of newborn) compared with R75 (Inconclusive laboratory evidence of human immunodeficiency virus [HIV]), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. P38 carries an Excludes2 note covering R75: “laboratory evidence of human immunodeficiency virus [HIV] (R75)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| P38Omphalitis of newborn | R75Inconclusive laboratory evidence of human immunodeficiency virus [HIV] | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Omphalitis of newborn is a non-billable ICD-10-CM category code (P38). | Inconclusive laboratory evidence of human immunodeficiency virus [HIV] is a billable ICD-10-CM diagnosis code (R75). |
| Includes | — | Nonconclusive HIV-test finding in infants |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources