2027 ICD-10-CM Diagnosis Code P11.4Birth injury to other cranial nerves

ICD-10-CM Codes›P00–P96›P10-P15›P11

ICD-10-CM P11.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P11.4 is a billable ICD-10-CM diagnosis code for birth injury to other cranial nerves. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793. Coders also document this condition as cranial nerve injury due to birth trauma. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Birth trauma.

Code Identity

ICD-10-CM Code
P11.4
Billable Status
Yes — Valid for Submission
Code Describes
Birth injury to other cranial nerves
Short Description
Birth injury to other cranial nerves
Same as the full description in the CMS dataset.
Parent Code
Other birth injuries to central nervous system

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP10-P15Birth trauma
CategoryP11Other birth injuries to central nervous system
This CodeP11.4Birth injury to other cranial nerves

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cranial nerve injury due to birth trauma

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P11.4: its own notes plus those printed at Chapter 16. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Notes

General instructions on how these codes are used.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • Codes from this chapter are for use on newborn records only, never on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name P11.4, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming P11.4: its condition is not part of those codes, and both may be reported when the patient has both.

  • Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes
    birth trauma (P10-P15) names P10-P15, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR PNL008
Birth trauma
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P11.4 to ICD-9-CMHistory

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

ICD-9-CM
767.7 Nerve inj NEC at birth
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P11.4Overview

What is the ICD-10 code for birth injury to other cranial nerves?

The ICD-10-CM code for birth injury to other cranial nerves is P11.4 (sometimes written as P114). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P11.4 (Other birth injuries to central nervous system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report birth injury to other cranial nerves on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P11.4 group to?

When birth injury to other cranial nerves is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, with relative weights from 4.1073 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of P11.4?

Under the General Equivalence Mappings, birth injury to other cranial nerves converts to ICD-9-CM 767.7 (nerve inj NEC at birth). The mapping is approximate, so confirm the match fits the documentation.