P01.6
BillableNewborn affected by maternal death
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P01.6 an HCC code?
No. P01.6 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
P01.6 is the ICD-10-CM diagnosis code for newborn affected by maternal death. A newborn whose mother died during pregnancy or childbirth, which may affect the newborn's care and outcomes. P01.6 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).
P01.6 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.
This is a significant maternal event; document the timing of maternal death relative to delivery and any impact on newborn resuscitation or care.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P01.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a significant maternal event; document the timing of maternal death relative to delivery and any impact on newborn resuscitation or care
- •Coordinate with obstetric records to ensure accurate documentation of the maternal death circumstances