2027 ICD-10-CM Diagnosis Code P13.9Birth injury to skeleton, unspecified

ICD-10-CM Codes›P00–P96›P10-P15›P13

ICD-10-CM P13.9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P13.9 is a billable ICD-10-CM diagnosis code for birth injury to skeleton, unspecified. 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 fracture of vertebral column. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Birth trauma.

Code Identity

ICD-10-CM Code
P13.9
Billable Status
Yes — Valid for Submission
Code Describes
Birth injury to skeleton, unspecified
Short Description
Birth injury to skeleton, unspecified
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 CodeP13.9Birth injury to skeleton, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fracture of vertebral column
  • Skeletal injury due to birth trauma

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P13.9: 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 P13.9, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming P13.9: 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

Bone Diseases

Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone.

Read the full article at MedlinePlus

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

Convert P13.9 to ICD-9-CMHistory

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

ICD-9-CM
767.3 Bone injury 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 P13.9Overview

What is the ICD-10 code for birth injury to skeleton, unspecified?

The ICD-10-CM code for birth injury to skeleton, unspecified is P13.9 (sometimes written as P139). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P13.9 (Birth injury to skeleton) a billable code?

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

What MS-DRG does P13.9 group to?

When birth injury to skeleton, unspecified 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 P13.9?

Under the General Equivalence Mappings, birth injury to skeleton, unspecified converts to ICD-9-CM 767.3 (bone injury NEC at birth). The mapping is approximate, so confirm the match fits the documentation.