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P83.6 ICD-10-CM Code: Umbilical polyp of newborn

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 Excludes1 · 2 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P83.6 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

Notes without a marker are published on P83.6 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from P83

Excludes2 — Not Included Here

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

Source: inherited from P83

Coder workflow for P83.6

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

Before you code P83.6

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with P83.6. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in P83.6’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP56, P39.4, L00

Consider P83.6. 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

  • Excludes1 — check before selecting P83.6(4 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with P83.6: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP56, P39.4, L00

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

  • Excludes2 — not part of P83.6(2 notes)

    Coding workflow: The conditions named in this note are not included in P83.6. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareL21.0, L22

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

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition P83.6 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP56, P39.4, L00

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

The comparisons, hierarchy, index entries, guidelines, relationships, risk-adjustment and coverage context a coder commonly needs. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Don’t confuse P83.6 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of P83.6 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Q80— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of congenital malformations of skin and integument moves the case to Q80; the two are not reported together unless documented as unrelated.

    Full comparison: P83.6 vs Q80 →

  • Q84— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of congenital malformations of skin and integument moves the case to Q84; the two are not reported together unless documented as unrelated.

    Full comparison: P83.6 vs Q84 →

  • P56— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of hydrops fetalis due to hemolytic disease moves the case to P56; the two are not reported together unless documented as unrelated.

    Full comparison: P83.6 vs P56 →

  • P39.4— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of neonatal skin infection moves the case to P39.4; the two are not reported together unless documented as unrelated.

    Full comparison: P83.6 vs P39.4 →

  • L00— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of staphylococcal scalded skin syndrome moves the case to L00; the two are not reported together unless documented as unrelated.

    Full comparison: P83.6 vs L00 →

  • P83.3— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Other and unspecified edema specific to newborn” takes P83.3; specificity in the record moves it back here.

    Full comparison: P83.6 vs P83.3 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Umbilical polyp of newborn is a billable ICD-10-CM diagnosis code (P83.6).

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

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 795 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

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).

P81.0 — Environmental hyperthermia of newborn, P81.8 — Other specified disturbances of temperature regulation of newborn, P81.9 — Disturbance of temperature regulation of newborn, unspecified, P83.0 — Sclerema neonatorum, P83.1 — Neonatal erythema toxicum, P83.2 — Hydrops fetalis not due to hemolytic disease, P83.30 — Unspecified edema specific to newborn, P83.39 — Other edema specific to newborn, P83.4 — Breast engorgement of newborn, P83.5 — Congenital hydrocele, P83.8 — Other specified conditions of integument specific to newborn, P83.81 — Umbilical granuloma, P83.88 — Other specified conditions of integument specific to newborn, P83.9 — Condition of the integument specific to newborn, unspecified, P93.0 — Grey baby syndrome, P93.8 — Other reactions and intoxications due to drugs administered to newborn, P94.0 — Transient neonatal myasthenia gravis, P94.1 — Congenital hypertonia, P94.2 — Congenital hypotonia, P94.8 — Other disorders of muscle tone of newborn, +74 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Polyp, polypus”; these codes share that main term but sit in a different category of the Tabular List.

K51.40 — Inflammatory polyps of colon without complications (colon, inflammatory), K51.411 — Inflammatory polyps of colon with rectal bleeding (colon, inflammatory, with, rectal bleeding), K51.412 — Inflammatory polyps of colon with intestinal obstruction (colon, inflammatory, with, intestinal obstruction), K51.413 — Inflammatory polyps of colon with fistula (colon, inflammatory, with, fistula), K51.414 — Inflammatory polyps of colon with abscess (colon, inflammatory, with, abscess), K51.418 — Inflammatory polyps of colon with other complication (colon, inflammatory, with, complication, specified NEC), K51.419 — Inflammatory polyps of colon with unspecified complications (colon, inflammatory, with, complication), K62.0 — Anal polyp (anus, anal), K62.1 — Rectal polyp (rectum), K63.5 — Polyp of colon (colon), K82.4 — Cholesterolosis of gallbladder (cholesterol), N28.89 — Other specified disorders of kidney and ureter (ureter), N36.2 — Urethral caruncle (urethra), N84.0 — Polyp of corpus uteri (uterus), N84.1 — Polyp of cervix uteri (cervix), N84.2 — Polyp of vagina (vagina), N84.3 — Polyp of vulva (vulva), N84.8 — Polyp of other parts of female genital tract (oviduct), N84.9 — Polyp of female genital tract, unspecified (female genital tract), O90.89 — Other complications of the puerperium, not elsewhere classified (placenta), +21 more

Contextual Map

Every relationship of P83.6 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.

Hierarchy

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

  • Polyp, polypus, umbilical, newborn[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (13)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Deep reference

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

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
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 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.

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 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder structured relationship · MedCoder 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. "P83.6 — Umbilical polyp of newborn." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/p83.6-umbilical-polyp-of-newborn

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Umbilical polyp of newborn

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P83.6 in its code family, with their registry titles.

View all codes in the P83 family