Skip to content

P70.0 ICD-10-CM Code: Syndrome of infant of mother with gestational diabetes

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Transitory endocrine and metabolic disorders specific to newborn (P70-P74)

P70.0

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Syndrome of infant of mother with gestational diabetes

A group of symptoms and metabolic problems in newborns whose mothers had gestational diabetes during pregnancy.

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
P70Transitory disorders of carbohydrate metabolism specific to newborn
P70.0Syndrome of infant of mother with gestational diabetes

Inclusion Terms

Official
  • Newborn (with hypoglycemia) affected by maternal gestational diabetes

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P70.0 in this effective period.

Related Child Codes

Official
P70.1Syndrome of infant of a diabetic mother
P70.2Neonatal diabetes mellitus
P70.3Iatrogenic neonatal hypoglycemia
P70.4Other neonatal hypoglycemia
P70.8Other transitory disorders of carbohydrate metabolism of newborn

Includes

Official

ICD-10-CM does not list Includes notes for P70.0 in this effective period.

Excludes 1

Official
  • newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus (P70.1)
  • syndrome of infant of a diabetic mother (P70.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P70.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P70.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P70.0 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is used when the mother had gestational diabetes; do not use if mother had pre-existing diabetes
Often associated with hypoglycemia, hypocalcemia, and polycythemia in the newborn

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.

Is P70.0 an HCC code?

No. P70.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
P70.0
Description
Syndrome of infant of mother with gestational diabetes
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

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

What This Code Means

P70.0 is the ICD-10-CM diagnosis code for syndrome of infant of mother with gestational diabetes. A group of symptoms and metabolic problems in newborns whose mothers had gestational diabetes during pregnancy. P70.0 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering transitory endocrine and metabolic disorders specific to newborn (p70-p74).

P70.0 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.

This code is used when the mother had gestational diabetes; do not use if mother had pre-existing diabetes.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P70.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used when the mother had gestational diabetes; do not use if mother had pre-existing diabetes
  • Often associated with hypoglycemia, hypocalcemia, and polycythemia in the newborn

Excludes 1, Do NOT code together

  • newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus (P70.1)
  • syndrome of infant of a diabetic mother (P70.1)

Child Codes

Code Hierarchy

Work P70.0 in HCC Buddy

Open P70.0 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.