ICD-10/P38

P38 ICD 2026 Code: Omphalitis of newborn

P38 is the authoritative medical code for Omphalitis of newborn. This classification is used in medical billing and clinical recording to specify the clinical criteria for omphalitis of newborn (ICD-10-CM P38), ensuring healthcare documentation aligns with 2026 federal coding standards.

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

Official Registry Overview & Definition

Omphalitis of newborn is a non-billable ICD-10-CM category code P38. A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): omphalitis not of newborn L08.82; tetanus omphalitis A33; umbilical hemorrhage of newborn P51.-. Excludes2 (not included here): asymptomatic human immunodeficiency virus HIV infection status Z21; congenital gonococcal infection A54.-; congenital pneumonia P23.-; congenital syphilis A50.-; human immunodeficiency virus HIV disease B20; infant botulism A48.51; infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-); intestinal infectious disease A00-A09; laboratory evidence of human immunodeficiency virus HIV; tetanus neonatorum A33.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for P38 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • omphalitis not of newborn L08.82
  • tetanus omphalitis A33
  • umbilical hemorrhage of newborn P51.-

Excludes2 — Not Included Here

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

  • asymptomatic human immunodeficiency virus HIV infection status Z21
  • congenital gonococcal infection A54.-
  • congenital pneumonia P23.-
  • congenital syphilis A50.-
  • human immunodeficiency virus HIV disease B20
  • infant botulism A48.51
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease A00-A09
  • laboratory evidence of human immunodeficiency virus HIV
  • tetanus neonatorum A33

Frequently Asked Questions (FAQ) & Clinical Guidance

Can P38 be billed directly?

No. P38 (Omphalitis of newborn) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

What can't be coded together with P38?

Per Excludes1 instructions, P38 must not be reported with: omphalitis not of newborn (L08.82); tetanus omphalitis (A33); umbilical hemorrhage of newborn (P51.-).

Can P38 be reported alongside related conditions?

Per Excludes2 instructions, P38 and the following may both be reported when both are present: asymptomatic human immunodeficiency virus [HIV] infection status (Z21); congenital gonococcal infection (A54.-); congenital pneumonia (P23.-); congenital syphilis (A50.-).

Codes in This Family (2)

Official ICD-10-CM classifications in the same code family as P38, with their registry titles.

  • P38.1 — Omphalitis with mild hemorrhage
  • P38.9 — Omphalitis without hemorrhage

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code P35 Congenital viral diseases
ICD Code P36 Bacterial sepsis of newborn
ICD Code P37 Other congenital infectious and parasitic diseases
ICD Code P39 Other infections specific to the perinatal period
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