2027 ICD-10-CM Diagnosis Code P13.4Fracture of clavicle due to birth injury

ICD-10-CM Codes›P00–P96›P10-P15›P13

ICD-10-CM P13.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P13.4 is a billable ICD-10-CM diagnosis code for fracture of clavicle due to birth injury. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. Coders also document this condition as birth injury of long bone. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Birth trauma.

Code Identity

ICD-10-CM Code
P13.4
Billable Status
Yes — Valid for Submission
Code Describes
Fracture of clavicle due to birth injury
Short Description
Fracture of clavicle due to birth injury
Same as the full description in the CMS dataset.
Parent Code
Birth injury to skeleton

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP10-P15Birth trauma
CategoryP13Birth injury to skeleton
This CodeP13.4Fracture of clavicle due to birth injury

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Birth injury of long bone
  • Birth injury of thorax
  • Fracture of clavicle due to birth trauma
  • Fracture of long bone due to birth trauma

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P13.4: its own notes plus those printed at P13 and 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 P13 Birth injury to skeleton applies to 7 codes
  • birth injury to spine (P11.5)
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 P13.4, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming P13.4: 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 P13.4 to ICD-9-CMHistory

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

ICD-9-CM
767.2 Clavicle fx at birth
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P13.4Overview

What is the ICD-10 code for fracture of clavicle due to birth injury?

The ICD-10-CM code for fracture of clavicle due to birth injury is P13.4 (sometimes written as P134). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P13.4 (Birth injury to skeleton) a billable code?

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

What MS-DRG does P13.4 group to?

When fracture of clavicle due to birth injury is the principal diagnosis on an inpatient stay, it groups to MS-DRG 794 (neonate with Other Significant Problems), which carries a relative weight of 1.4934. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of P13.4?

Under the General Equivalence Mappings, fracture of clavicle due to birth injury converts to ICD-9-CM 767.2 (clavicle fx at birth). The mapping is a direct match.