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Compare/P70.0 vs P70.1

P70.0 vs P70.1

P70.0 (Syndrome of infant of mother with gestational diabetes) compared with P70.1 (Syndrome of infant of a diabetic mother), 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. P70.0 carries an Excludes1 note covering P70.1: “newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus (P70.1)”

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

No — do not report together. P70.0 carries an Excludes1 note covering P70.1: “syndrome of infant of a diabetic mother (P70.1)”

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

No — do not report together. P70.1 carries an Excludes1 note covering P70.0: “newborn (with hypoglycemia) affected by maternal gestational diabetes (P70.0)”

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

No — do not report together. P70.1 carries an Excludes1 note covering P70.0: “syndrome of infant of mother with gestational diabetes (P70.0)”

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

P70.0Syndrome of infant of mother with gestational diabetesP70.1Syndrome of infant of a diabetic mother
Billing statusBillableBillable
ClassificationP00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)
DefinitionSyndrome of infant of mother with gestational diabetes is a billable ICD-10-CM diagnosis code (P70.0).Syndrome of infant of a diabetic mother is a billable ICD-10-CM diagnosis code (P70.1).
Includes
transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment
Newborn (with hypoglycemia) affected by maternal gestational diabetes
transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment
Newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus

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