2026 ICD-10-CM Diagnosis Code P01.1Newborn affected by premature rupture of membranes

ICD-10-CM Codes›P00–P96›P00-P04›P01

ICD-10-CM P01.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P01.1 is a billable ICD-10-CM diagnosis code for newborn affected by premature rupture of membranes. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Newborn affected by maternal conditions or complications of labor/delivery.

Code Identity

ICD-10-CM Code
P01.1
Billable Status
Yes — Valid for Submission
Code Describes
Newborn affected by premature rupture of membranes
Short Description
Newborn affected by premature rupture of membranes
Same as the full description in the CMS dataset.
Parent Code
P01
Newborn affected by maternal complications of pregnancy

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
CategoryP01Newborn affected by maternal complications of pregnancy
This CodeP01.1Newborn affected by premature rupture of membranes

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Newborn(infant) (liveborn) (singleton)
      • affected by
        • maternal (complication of) (use of)
          • premature rupture of membranes

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL010
Newborn affected by maternal conditions or complications of labor/delivery
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert P01.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
761.1 Premat rupt memb aff NB
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P01.1Overview

Is P01.1 (Newborn affected by maternal complications of pregnancy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report newborn affected by premature rupture of membranes on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P01.1?

Under the General Equivalence Mappings, newborn affected by premature rupture of membranes converts to ICD-9-CM 761.1 (premat rupt memb aff NB). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.