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

P12

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

Birth injury to scalp

Birth injury to scalp

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
P1Birth trauma (P10-P15)
P12Birth injury to scalp

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P12 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P12 in this effective period.

Related Child Codes

Official
P12.0Cephalhematoma due to birth injury
P12.1Chignon (from vacuum extraction) due to birth injury
P12.2Epicranial subaponeurotic hemorrhage due to birth injury
P12.3Bruising of scalp due to birth injury
P12.4Injury of scalp of newborn due to monitoring equipment

Includes

Official

ICD-10-CM does not list Includes notes for P12 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for P12 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P12 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P12 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P12 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

P12 is the ICD-10-CM diagnosis code for birth injury to scalp. P12 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 P12 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at P12's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

P12Birth injury to scalp
P12Birth injury to scalp

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