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P96.0 ICD-10-CM Code: Congenital renal failure

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

Coding at a Glance

Tabular directives
1 inclusion term

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 v43, Appendix B.

  • MS-DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)

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 P96.0 in the official ICD-10-CM tabular list, quoted as published.

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

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Uremia of newborn

Code Overview

Congenital renal failure is a billable ICD-10-CM diagnosis code (P96.0).

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 (4)

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

Other codes that name P96.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: N19 — Unspecified kidney failure.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 4 Excludes2 notes: N17 — Acute kidney failure, N17-N19 — Acute kidney failure and chronic kidney disease (N17-N19), N18 — Chronic kidney disease (CKD), N19 — Unspecified kidney failure.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 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 794 (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).

P83.6 — Umbilical polyp of newborn, 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, P94.9 — Disorder of muscle tone of newborn, unspecified, P95 — Stillbirth, P96.3 — Wide cranial sutures of newborn, P96.5 — Complication to newborn due to (fetal) intrauterine procedure, P96.81 — Exposure to (parental) (environmental) tobacco smoke in the perinatal period, P96.82 — Delayed separation of umbilical cord, P96.83 — Meconium staining, P96.89 — Other specified conditions originating in the perinatal period, P96.9 — Condition originating in the perinatal period, unspecified, +74 more

Same Index main term, other category

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

O90.49 — Other postpartum acute kidney failure (puerperal), O92.3 — Agalactia (lactation), O92.4 — Hypogalactia (lactation, partial), P09.5 — Abnormal findings on neonatal screening for critical congenital heart disease (newborn screening, neonatal congenital heart disease), P28.0 — Primary atelectasis of newborn (expansion terminal respiratory units), P28.5 — Respiratory failure of newborn (respiration, respiratory, newborn), P29.0 — Neonatal cardiac failure (heart, newborn), P29.89 — Other cardiovascular disorders originating in the perinatal period (circulation, circulatory, newborn), P91.88 — Other specified disturbances of cerebral status of newborn (vital centers, newborn), P92.6 — Failure to thrive in newborn (to thrive, newborn), Q43.3 — Congenital malformations of intestinal fixation (rotation, cecum), Q63.2 — Ectopic kidney (rotation, kidney), Q76.3 — Congenital scoliosis due to congenital bony malformation (segmentation, vertebra, with scoliosis), Q76.49 — Other congenital malformations of spine, not associated with scoliosis (segmentation, vertebra), R09.2 — Respiratory arrest (cardiorespiratory), R34 — Anuria and oliguria, R39.2 — Extrarenal uremia (prerenal), R54 — Age-related physical debility (senile), R57.9 — Shock, unspecified (circulation, circulatory), R62.51 — Failure to thrive (child) (to thrive), +134 more

Contextual Map

Every relationship of P96.0 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 P96.0 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

  • Anuria, newborn[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Failure, failed, renal, congenital[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Uremia, uremic, congenital[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Uremia, uremic, newborn[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (11)

Change history

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

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
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 — v43 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. "P96.0 — Congenital renal failure." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/p96.0-congenital-renal-failure

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Congenital renal failure

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 P96.0 in its code family, with their registry titles.

View all codes in the P96 family