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P36 ICD-10-CM Code: Bacterial sepsis of newborn

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Infections specific to the perinatal period (P35-P39)

P36

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

Bacterial sepsis of newborn

Bacterial sepsis of newborn

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
P3Infections specific to the perinatal period (P35-P39)
P36Bacterial sepsis of newborn

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P36 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P36 in this effective period.

Related Child Codes

Official
P36.0Sepsis of newborn due to streptococcus, group B
P36.1Sepsis of newborn due to other and unspecified streptococci
P36.2Sepsis of newborn due to Staphylococcus aureus
P36.3Sepsis of newborn due to other and unspecified staphylococci
P36.4Sepsis of newborn due to Escherichia coli

Includes

Official
  • congenital sepsis

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for P36 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P36 in this effective period.

Use Additional

Official
  • code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)

Code Also

Official

ICD-10-CM does not list Code Also instructions for P36 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

P36 is the ICD-10-CM diagnosis code for bacterial sepsis of newborn. P36 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering infections specific to the perinatal period (p35-p39).

Header codes like P36 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 P36'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 P36 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • congenital sepsis

Use Additional Code

  • code(s), if applicable, to identify severe sepsis (R65.2-) and associated acute organ dysfunction(s)

Child Codes

Code Hierarchy

P36Bacterial sepsis of newborn
P36Bacterial sepsis of newborn

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