Skip to main content

P09 ICD-10-CM Code: Abnormal findings on neonatal screening

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives
2 inclusion terms · 1 Excludes2

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P09 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • Abnormal findings on state mandated newborn screens
  • Failed newborn screening

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • nonspecific serologic evidence of human immunodeficiency virus HIV

Coder workflow for P09

MedCoder structured workflow — derived from this code’s own official record

Before you code P09

  1. P09 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewP09.1, P09.2, P09.3, P09.4, P09.5, P09.6, P09.8, P09.9

    See the relationships section · Guide: How to choose an ICD-10-CM code →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath P09?
    Yes → Select that code and continue the checks below on its own page.
    No → P09 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewP09.1, P09.2, P09.3, P09.4, P09.5, P09.6, P09.8, P09.9

Consider P09. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes2 — not part of P09(1 note)

    Coding workflow: The conditions named in this note are not included in P09. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    See the official tabular notes · Guidelines I.A.12.b

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Abnormal findings on neonatal screening is a non-billable ICD-10-CM category code (P09). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Clinical classification (AHRQ CCSR):PNL013 — Other specified and unspecified perinatal conditions (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified perinatal conditions).

P08.0 — Exceptionally large newborn baby, P08.1 — Other heavy for gestational age newborn, P08.21 — Post-term newborn, P08.22 — Prolonged gestation of newborn, P09.1 — Abnormal findings on neonatal screening for inborn errors of metabolism, P09.2 — Abnormal findings on neonatal screening for congenital endocrine disease, P09.3 — Abnormal findings on neonatal screening for congenital hematologic disorders, P09.4 — Abnormal findings on neonatal screening for cystic fibrosis, P09.5 — Abnormal findings on neonatal screening for critical congenital heart disease, P09.6 — Abnormal findings on neonatal hearing screening, P09.8 — Other abnormal findings on neonatal screening, P09.9 — Abnormal findings on neonatal screening, unspecified, P22.1 — Transient tachypnea of newborn, P29.0 — Neonatal cardiac failure, P29.11 — Neonatal tachycardia, P29.12 — Neonatal bradycardia, P29.2 — Neonatal hypertension, P29.3 — Persistent fetal circulation, P29.30 — Pulmonary hypertension of newborn, P29.38 — Other persistent fetal circulation, +74 more

Contextual Map

Every relationship of P09 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run P09 with this related code in Claim Check

Hierarchy

Excludes2

Clinical classification (CCSR)

Nearest codes

Change history (2)

Common coding questions

Can P09 be billed directly?

No. P09 (Abnormal findings on neonatal screening) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "P09 — Abnormal findings on neonatal screening." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/p09-abnormal-findings-on-neonatal-screening

Change history

  • FY2022 — October 1, 2021
    Became a non-billable header
    FY2022 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Abnormal findings on neonatal screening

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P09 in its code family, with their registry titles.