P76.9
BillableIntestinal obstruction of newborn, unspecified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P76.9 an HCC code?
No. P76.9 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
P76.9 is the ICD-10-CM diagnosis code for intestinal obstruction of newborn, unspecified. A blockage in the intestines of a newborn baby where the specific cause is not identified or documented. P76.9 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering digestive system disorders of newborn (p76-p78).
P76.9 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 type of intestinal obstruction cannot be determined; review documentation for more specific codes like P76.0 (meconium ileus) or P76.1 (intestinal obstruction due to inspissated milk).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P76.9 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 type of intestinal obstruction cannot be determined; review documentation for more specific codes like P76.0 (meconium ileus) or P76.1 (intestinal obstruction due to inspissated milk)
- •This is a perinatal condition code; ensure the patient is a newborn (age 0-28 days) and document in the medical record