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

Compare with another code for P09Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Official instructions
2 inclusion terms · 1 Excludes2

What these terms mean →

Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes2Not included here; may be reported together
  • nonspecific serologic evidence of human immunodeficiency virus HIV
IncludesWhat this code covers
  • Abnormal findings on state mandated newborn screens
  • Failed newborn screening

Where it sits Source: CMS/NCHS

Under:Chapter 16: Certain Conditions Originating in the Perinatal PeriodP09-P09 Abnormal findings on neonatal screening

Codes under P09 (8)

  • P09.1Abnormal findings on neonatal screening for inborn errors of metabolismBillable
  • P09.2Abnormal findings on neonatal screening for congenital endocrine diseaseBillable
  • P09.3Abnormal findings on neonatal screening for congenital hematologic disordersBillable
  • P09.4Abnormal findings on neonatal screening for cystic fibrosisBillable
  • P09.5Abnormal findings on neonatal screening for critical congenital heart diseaseBillable
  • P09.6Abnormal findings on neonatal hearing screeningBillable
  • P09.8Other abnormal findings on neonatal screeningBillable
  • P09.9Abnormal findings on neonatal screening, unspecifiedBillable

CompareCheck ClaimView Related Codes

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: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

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. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

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

Report the code beneath P09 that the documentation supports, not P09 itself. Then confirm that code is valid for the date of service on its own page.

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.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

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-derived 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)

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 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-derived 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 editorial 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.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

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 FY2027. 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.