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P96.0

Billable

Congenital renal failure

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

What This Code Means

A newborn's kidneys fail to develop or function properly from birth, requiring immediate medical intervention and monitoring.

Coding Tips

  • This is a congenital condition present at birth; verify documentation confirms renal failure is present at delivery, not acquired later
  • May require additional codes for acute kidney injury or chronic kidney disease if the condition progresses

Code Hierarchy

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