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P23.9

Billable

Congenital pneumonia, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A lung infection in a newborn where the specific causative organism has not been identified or documented. This is used when congenital pneumonia is confirmed but the cause is unknown.

Coding Tips

  • Use this code only when the causative organism cannot be determined; attempt to identify the organism through culture or other diagnostic methods
  • Query the provider if clinical documentation suggests a specific organism but coding is unclear

Code Hierarchy

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