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P95 ICD-10-CM Code: Stillbirth

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Other disorders originating in the perinatal period (P90-P96)

P95

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Stillbirth

A fetus is born dead, with no signs of life at delivery; this represents fetal death that occurred before or during labor.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
P9Other disorders originating in the perinatal period (P90-P96)
P95Stillbirth

Inclusion Terms

Official
  • Deadborn fetus NOS
  • Fetal death of unspecified cause
  • Stillbirth NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P95 in this effective period.

Related Child Codes

Official

ICD-10-CM does not list child codes under P95 for this display context.

Includes

Official

ICD-10-CM does not list Includes notes for P95 in this effective period.

Excludes 1

Official
  • maternal care for intrauterine death (O36.4)
  • missed abortion (O02.1)
  • outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P95 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P95 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P95 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is used for vital statistics and birth certificate reporting; ensure proper documentation of delivery circumstances
Do not use this code if the infant shows any signs of life at birth; use appropriate live birth codes instead

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is P95 an HCC code?

No. P95 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

P95 is the ICD-10-CM diagnosis code for stillbirth. A fetus is born dead, with no signs of life at delivery; this represents fetal death that occurred before or during labor. P95 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering other disorders originating in the perinatal period (p90-p96).

P95 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 code is used for vital statistics and birth certificate reporting; ensure proper documentation of delivery circumstances.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P95 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used for vital statistics and birth certificate reporting; ensure proper documentation of delivery circumstances
  • Do not use this code if the infant shows any signs of life at birth; use appropriate live birth codes instead

Excludes 1, Do NOT code together

Code Hierarchy

P95Stillbirth
P95Stillbirth

Work P95 in HCC Buddy

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