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P94.1

Billable

Congenital hypertonia

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

What This Code Means

A newborn is born with abnormally increased muscle tone or stiffness throughout the body, which is a congenital condition present from birth.

Coding Tips

  • •Distinguish from hypertonia due to other causes (infection, metabolic disorders) by confirming congenital onset
  • •Document the distribution and severity of increased muscle tone

Code Hierarchy

└P94Disorders of muscle tone of newborn└P94.1Congenital hypertonia
└P94.1Congenital hypertonia

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