2027 ICD-10-CM Diagnosis Code P23.4Congenital pneumonia due to Escherichia coli
ICD-10-CM Codes›P00–P96›P19-P29›P23
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Not Chronic
P23.4 is a billable ICD-10-CM diagnosis code for congenital pneumonia due to Escherichia coli. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 68 closely related codes. Coders also document this condition as congenital bacterial pneumonia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections, Perinatal infections, and Respiratory perinatal condition.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital bacterial pneumonia
- Congenital Escherichia coli pneumonia
- Congenital pneumonia
- Pneumonia caused by Escherichia coli
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to P23.4: its own notes plus those printed at P23 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.
- infective pneumonia acquired in utero or during birth
- 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
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
Notes
General instructions on how these codes are used.
- 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 P23.4, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming P23.4: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming P23.4: its condition is not part of those codes, and both may be reported when the patient has both.
- Block P35-P39 Infections specific to the perinatal periodcongenital pneumonia (P23.-) names P23.-, 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.
Patient EducationClinical
E. coli Infections
E. coli is the name of a type of bacteria that lives in your intestines. Most types of E. coli are harmless. However, some types can make you sick and cause diarrhea. One type causes travelers' diarrhea. The worst type of E. coli causes bloody diarrhea, and can sometimes cause kidney failure and even death.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert P23.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About P23.4Overview
What is the ICD-10 code for congenital pneumonia due to Escherichia coli?
The ICD-10-CM code for congenital pneumonia due to Escherichia coli is P23.4 (sometimes written as P234). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is P23.4 (Congenital pneumonia) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report congenital pneumonia due to Escherichia coli on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does P23.4 group to?
When congenital pneumonia due to Escherichia coli 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.
Is P23.4 a CC or MCC?
CMS lists P23.4 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 68 closely related codes in its exclusion list.
Can P23.4 be reported with a code from P24?
Not as a rule. The Excludes1 note at P23, which applies to P23.4, lists "neonatal pneumonia resulting from aspiration (P24.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
