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P72.2

Billable

Other transitory neonatal disorders of thyroid function, not elsewhere classified

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is P72.2 an HCC code?

No. P72.2 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

P72.2 is the ICD-10-CM diagnosis code for other transitory neonatal disorders of thyroid function, not elsewhere classified. A newborn has other temporary thyroid function problems not fitting into more specific categories, such as hypothyroidism or thyroid hormone imbalances. P72.2 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).

P72.2 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.

Use this code for transitory thyroid disorders that don't meet criteria for codes P72.0 or P72.1.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P72.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for transitory thyroid disorders that don't meet criteria for codes P72.0 or P72.1
  • Document thyroid function test results (TSH, T4 levels) and the expected resolution timeline

Code Hierarchy

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