P00-P96110 V28 risk-adjusting codes
Certain conditions originating in the perinatal period
ICD-10-CM Chapter 16 (P00-P96) in the FY2026 code set. 110 codes in this chapter map to a CMS-HCC V28 payment category, across 14 HCC categories.
CMS-HCC V28 categories in this chapter (14)
Open any category for its full member-code list, RAF, and hierarchy.
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications26
- HCC 248 Intracranial Hemorrhage20
- HCC 213 Cardio-Respiratory Failure and Shock15
- HCC 202 Coma, Brain Compression/Anoxic Damage14
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock11
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias7
- HCC 78 Intestinal Obstruction/Perforation5
- HCC 249 Ischemic or Unspecified Stroke4
- HCC 192 Cerebral Palsy, Except Quadriplegic3
- HCC 182 Spinal Cord Disorders/Injuries1
- HCC 399 Major Head Injury without Loss of Consciousness1
- HCC 212 Respiratory Arrest1
- HCC 225 Acute Heart Failure (Excludes Acute on Chronic)1
- HCC 201 Seizure Disorders and Convulsions1
Risk-adjusting ICD-10-CM codes (110)
Codes in this chapter that map to a CMS-HCC V28 payment category. Open any code for its full detail.
- P02.70Newborn affected by fetal inflammatory response syndrome
- P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
- P04.11Newborn affected by maternal antineoplastic chemotherapy
- P04.12Newborn affected by maternal cytotoxic drugs
- P04.13Newborn affected by maternal use of anticonvulsants
- P04.14Newborn affected by maternal use of opiates
- P04.15Newborn affected by maternal use of antidepressants
- P04.16Newborn affected by maternal use of amphetamines
- P04.17Newborn affected by maternal use of sedative-hypnotics
- P04.18Newborn affected by other maternal medication
- P04.19Newborn affected by maternal use of unspecified medication
- P04.1ANewborn affected by maternal use of anxiolytics
- P04.2Newborn affected by maternal use of tobacco
- P04.3Newborn affected by maternal use of alcohol
- P04.40Newborn affected by maternal use of unspecified drugs of addiction
- P04.41Newborn affected by maternal use of cocaine
- P04.42Newborn affected by maternal use of hallucinogens
- P04.49Newborn affected by maternal use of other drugs of addiction
- P04.5Newborn affected by maternal use of nutritional chemical substances
- P04.6Newborn affected by maternal exposure to environmental chemical substances
- P04.81Newborn affected by maternal use of cannabis
- P04.89Newborn affected by other maternal noxious substances
- P04.9Newborn affected by maternal noxious substance, unspecified
- P10.0Subdural hemorrhage due to birth injury
- P10.1Cerebral hemorrhage due to birth injury
- P10.2Intraventricular hemorrhage due to birth injury
- P10.3Subarachnoid hemorrhage due to birth injury
- P10.4Tentorial tear due to birth injury
- P10.8Other intracranial lacerations and hemorrhages due to birth injury
- P10.9Unspecified intracranial laceration and hemorrhage due to birth injury
- P11.0Cerebral edema due to birth injury
- P11.1Other specified brain damage due to birth injury
- P11.2Unspecified brain damage due to birth injury
- P11.5Birth injury to spine and spinal cord
- P12.2Epicranial subaponeurotic hemorrhage due to birth injury
- P22.0Respiratory distress syndrome of newborn
- P26.0Tracheobronchial hemorrhage originating in the perinatal period
- P26.1Massive pulmonary hemorrhage originating in the perinatal period
- P26.8Other pulmonary hemorrhages originating in the perinatal period
- P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
- P27.0Wilson-Mikity syndrome
- P27.1Bronchopulmonary dysplasia originating in the perinatal period
- P27.8Other chronic respiratory diseases originating in the perinatal period
- P27.9Unspecified chronic respiratory disease originating in the perinatal period
- P28.0Primary atelectasis of newborn
- P28.10Unspecified atelectasis of newborn
- P28.11Resorption atelectasis without respiratory distress syndrome
- P28.19Other atelectasis of newborn
- P28.5Respiratory failure of newborn
- P28.81Respiratory arrest of newborn
- P29.0Neonatal cardiac failure
- P29.81Cardiac arrest of newborn
- P36.0Sepsis of newborn due to streptococcus, group B
- P36.10Sepsis of newborn due to unspecified streptococci
- P36.19Sepsis of newborn due to other streptococci
- P36.2Sepsis of newborn due to Staphylococcus aureus
- P36.30Sepsis of newborn due to unspecified staphylococci
- P36.39Sepsis of newborn due to other staphylococci
- P36.4Sepsis of newborn due to Escherichia coli
- P36.5Sepsis of newborn due to anaerobes
- P36.8Other bacterial sepsis of newborn
- P36.9Bacterial sepsis of newborn, unspecified
- P52.0Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn
- P52.1Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn
- P52.21Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
- P52.22Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
- P52.3Unspecified intraventricular (nontraumatic) hemorrhage of newborn
- P52.4Intracerebral (nontraumatic) hemorrhage of newborn
- P52.5Subarachnoid (nontraumatic) hemorrhage of newborn
- P52.6Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
- P52.8Other intracranial (nontraumatic) hemorrhages of newborn
- P52.9Intracranial (nontraumatic) hemorrhage of newborn, unspecified
- P55.0Rh isoimmunization of newborn
- P55.1ABO isoimmunization of newborn
- P55.8Other hemolytic diseases of newborn
- P55.9Hemolytic disease of newborn, unspecified
- P56.0Hydrops fetalis due to isoimmunization
- P56.90Hydrops fetalis due to unspecified hemolytic disease
- P56.99Hydrops fetalis due to other hemolytic disease
- P57.0Kernicterus due to isoimmunization
- P57.8Other specified kernicterus
- P57.9Kernicterus, unspecified
- P77.1Stage 1 necrotizing enterocolitis in newborn
- P77.2Stage 2 necrotizing enterocolitis in newborn
- P77.3Stage 3 necrotizing enterocolitis in newborn
- P77.9Necrotizing enterocolitis in newborn, unspecified
- P78.0Perinatal intestinal perforation
- P90Convulsions of newborn
- P91.0Neonatal cerebral ischemia
- P91.1Acquired periventricular cysts of newborn
- P91.2Neonatal cerebral leukomalacia
- P91.3Neonatal cerebral irritability
- P91.4Neonatal cerebral depression
- P91.5Neonatal coma
- P91.60Hypoxic ischemic encephalopathy [HIE], unspecified
- P91.61Mild hypoxic ischemic encephalopathy [HIE]
- P91.62Moderate hypoxic ischemic encephalopathy [HIE]
- P91.63Severe hypoxic ischemic encephalopathy [HIE]
- P91.811Neonatal encephalopathy in diseases classified elsewhere
- P91.819Neonatal encephalopathy, unspecified
- P91.821Neonatal cerebral infarction, right side of brain
- P91.822Neonatal cerebral infarction, left side of brain
- P91.823Neonatal cerebral infarction, bilateral
- P91.829Neonatal cerebral infarction, unspecified side
- P91.88Other specified disturbances of cerebral status of newborn
- P91.9Disturbance of cerebral status of newborn, unspecified
- P93.0Grey baby syndrome
- P93.8Other reactions and intoxications due to drugs administered to newborn
- P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
- P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
Frequently asked questions
How many ICD-10-CM codes in Certain conditions originating in the perinatal period risk-adjust under CMS-HCC V28?
110 ICD-10-CM codes in the P00-P96 chapter (Certain conditions originating in the perinatal period) map to a CMS-HCC V28 payment category for payment year 2026.
Which CMS-HCC V28 categories do P00-P96 codes map to?
Codes in this chapter map to 14 distinct CMS-HCC V28 categories, most commonly HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), HCC 248 (Intracranial Hemorrhage), HCC 213 (Cardio-Respiratory Failure and Shock).
What ICD-10-CM chapter is P00-P96?
P00-P96 is ICD-10-CM Chapter 16, Certain conditions originating in the perinatal period, in the FY2026 code set.
Source: FY2026 ICD-10-CM Tabular (CDC/NCHS) and the CMS-HCC v28 PY2026 mapping file.