P02.4
BillableNewborn affected by prolapsed cord
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P02.4 an HCC code?
No. P02.4 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
P02.4 is the ICD-10-CM diagnosis code for newborn affected by prolapsed cord. A newborn is affected by the umbilical cord slipping out of position and protruding through the cervix during labor, which can restrict blood flow to the baby. P02.4 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).
P02.4 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.
Document whether the prolapse was detected prenatally or during labor.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P02.4 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document whether the prolapse was detected prenatally or during labor
- •Note any complications or interventions related to the prolapsed cord