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P11 ICD-10-CM Code: Other birth injuries to central nervous system

P11 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Birth trauma (P10-P15)

P11

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other birth injuries to central nervous system

Other birth injuries to central nervous system

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
P1Birth trauma (P10-P15)
P11Other birth injuries to central nervous system

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P11 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P11 in this effective period.

Related Child Codes

Official
P11.0Cerebral edema due to birth injury
P11.1Other specified brain damage due to birth injury
P11.2Unspecified brain damage due to birth injury
P11.3Birth injury to facial nerve
P11.4Birth injury to other cranial nerves

Includes

Official

ICD-10-CM does not list Includes notes for P11 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for P11 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P11 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P11 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P11 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
P11
Description
Other birth injuries to central nervous system
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

P11 is the ICD-10-CM diagnosis code for other birth injuries to central nervous system. P11 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering birth trauma (p10-p15).

Header codes like P11 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for P11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

P11Other birth injuries to central nervous system
P11Other birth injuries to central nervous system

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