P95 vs Z37.4
P95 (Stillbirth) compared with Z37.4 (Twins, both stillborn), 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. P95 carries an Excludes1 note covering Z37.4: “outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)”
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. Z37.4 carries an Excludes1 note covering P95: “stillbirth (P95)”
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
| P95Stillbirth | Z37.4Twins, both stillborn | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Stillbirth is a billable ICD-10-CM diagnosis code (P95). | Twins, both stillborn is a billable ICD-10-CM diagnosis code (Z37.4). |
| Includes | Deadborn fetus NOS Fetal death of unspecified cause Stillbirth NOS | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources