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FY2027 ICD-10-CM reference

P10.9: Unspecified intracranial laceration and hemorrhage due to birth injury

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Unspecified intracranial laceration and hemorrhage due to birth injury. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

  • HCC 248: Intracranial Hemorrhage · RAF 0.239, Community Non-Dual Aged (CNA)

Payment year 2027, 2026 dates of service. HCC from the CMS 2027 Initial ICD-10-CM Mappings; RAF from the CMS-HCC V28 relative factors. For 2027 dates of service, CMS has not yet published the payment year 2028 mappings.

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged

PACE

Source verification pending

RxHCC

No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged

HHS-HCC

  • HCC 145: Intracranial Hemorrhage

RAF not applicable: HHS-HCC weights vary by metal level. Mapping: HHS-HCC 2026 benefit year.

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Codes from this chapter are for use on newborn records only, never on maternal records

Source: P00-P96 (chapter, inherited).

Includes

conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later

Source: P00-P96 (chapter, inherited).

Excludes2

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Source: P00-P96 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: P00-P96 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: P00-P96 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: P00-P96 (chapter, inherited).

Excludes2

tetanus neonatorum (A33)

Source: P00-P96 (chapter, inherited).

Excludes1

intracranial hemorrhage of newborn NOS (P52.9)

Source: P10 (category, inherited).

Excludes1

intracranial hemorrhage of newborn due to anoxia or hypoxia (P52.-)

Source: P10 (category, inherited).

Excludes1

nontraumatic intracranial hemorrhage of newborn (P52.-)

Source: P10 (category, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does P10.9 mean in FY2027?

The official ICD-10-CM descriptor is Unspecified intracranial laceration and hemorrhage due to birth injury. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is P10.9 billable in FY2027?

The FY2027 order file marks P10.9 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does P10.9 map to an HCC?

In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), P10.9 maps to CMS-HCC V28 HCC 248 (Intracranial Hemorrhage). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: no ESRD category; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: HCC 145 under the HHS-HCC 2026 benefit year mapping (no RAF; HHS-HCC weights vary by metal level). CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition