P00.7
BillableNewborn affected by other medical procedures on mother, not elsewhere classified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P00.7 an HCC code?
No. P00.7 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
P00.7 is the ICD-10-CM diagnosis code for newborn affected by other medical procedures on mother, not elsewhere classified. A newborn whose health is affected by medical procedures or treatments the mother received during pregnancy, not covered by other codes. P00.7 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (p00-p04).
P00.7 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code for procedures like amniocentesis, fetal monitoring, or other interventions.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P00.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code for procedures like amniocentesis, fetal monitoring, or other interventions
- •Document the specific procedure and any complications that affected the newborn