P14.0
BillableErb's paralysis due to birth injury
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P14.0 an HCC code?
No. P14.0 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
P14.0 is the ICD-10-CM diagnosis code for erb's paralysis due to birth injury. Erb's paralysis is a nerve injury affecting the upper arm and shoulder of a newborn, typically caused by stretching of the brachial plexus during difficult birth. P14.0 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).
P14.0 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 the severity (complete vs. incomplete) and affected nerve roots (C5-C6 typically) when available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P14.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the severity (complete vs. incomplete) and affected nerve roots (C5-C6 typically) when available
- •Most cases resolve spontaneously, but some require physical therapy or surgical intervention