P84
BillableOther problems with newborn
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P84 an HCC code?
No. P84 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
P84 is the ICD-10-CM diagnosis code for other problems with newborn. Various other health problems in newborns that affect their overall condition but don't fit into other specific newborn problem categories. P84 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering other problems with newborn (p84).
P84 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 is a non-specific code; document the exact problem in the medical record and use more specific codes when available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P84 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.