P72.8
BillableOther specified transitory neonatal endocrine disorders
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P72.8 an HCC code?
No. P72.8 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
P72.8 is the ICD-10-CM diagnosis code for other specified transitory neonatal endocrine disorders. A temporary hormone or gland-related condition in newborns that doesn't fit other specific categories, typically resolving on its own within the first few weeks of life. P72.8 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).
P72.8 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 only when the specific transitory endocrine disorder cannot be identified; always attempt to code to a more specific P72 code first.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P72.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the specific transitory endocrine disorder cannot be identified; always attempt to code to a more specific P72 code first
- •Document the type of endocrine disorder observed to support medical necessity and ensure appropriate clinical management