2027 ICD-10-CM Diagnosis Code P39.3Neonatal urinary tract infection

ICD-10-CM Codes›P00–P96›P35-P39›P39

ICD-10-CM P39.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P39.3 is a billable ICD-10-CM diagnosis code for neonatal urinary tract infection. 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 complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 54 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Perinatal infections.

Code Identity

ICD-10-CM Code
P39.3
Billable Status
Yes — Valid for Submission
Code Describes
Neonatal urinary tract infection
Short Description
Neonatal urinary tract infection
Same as the full description in the CMS dataset.
Parent Code
Other infections specific to the perinatal period

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP35-P39Infections specific to the perinatal period
CategoryP39Other infections specific to the perinatal period
This CodeP39.3Neonatal urinary tract infection

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute lower urinary tract infection
  • Acute upper urinary tract infection
  • Acute urinary tract infection
  • Bacterial urinary infection
  • Coliform urinary tract infection
  • Febrile urinary tract infection
  • Infection caused by Enterococcus
  • Lower urinary tract infectious disease
  • Neonatal colibacillosis
  • Neonatal urinary tract infection
  • Neonatal urinary tract infection caused by Escherichia coli
  • Pseudomonas aeruginosa urinary tract infection
  • Sepsis due to urinary tract infection
  • Upper urinary tract infection
  • Urinary tract infection caused by Enterococcus
  • Urinary tract infection caused by Escherichia coli
  • Urinary tract infection caused by Klebsiella
  • Urinary tract infection caused by Pseudomonas
  • Urinary tract infection caused by Streptococcus agalactiae
  • Urinary tract infectious disease

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P39.3: its own notes plus those printed at P39, block P35-P39, 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 Block P35-P39 Infections specific to the perinatal period applies to 34 codes
  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • congenital gonococcal infection (A54.-)
  • congenital pneumonia (P23.-)
  • congenital syphilis (A50.-)
  • human immunodeficiency virus [HIV] disease (B20)
  • infant botulism (A48.51)
  • infectious diseases not specific to the perinatal period (A00-B99, J09, J10.-)
  • intestinal infectious disease (A00-A09)
  • laboratory evidence of human immunodeficiency virus [HIV] (R75)
  • tetanus neonatorum (A33)
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)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From P39 Other infections specific to the perinatal period applies to 7 codes
  • code to identify organism or specific infection

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 P39.3, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming P39.3: they are not reported together with it, unless the two conditions are unrelated.

  • N39.0 Urinary tract infection, site not specified
    neonatal urinary tract infection (P39.3)

Excludes2 2

These codes carry an Excludes2 note naming P39.3: its condition is not part of those codes, and both may be reported when the patient has both.

  • Chapter 1 (A00-B99) Certain infectious and parasitic diseases
    infectious and parasitic diseases specific to the perinatal period (P35-P39) names P35-P39, which includes this code
  • P00.2 Newborn affected by maternal infectious and parasitic diseases
    infections specific to the perinatal period (P35-P39) names P35-P39, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR PNL009
Perinatal infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Read the full article at MedlinePlus

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

Convert P39.3 to ICD-9-CMHistory

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

ICD-9-CM
771.82 NB urinary tract infectn
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 P39.3Overview

What is the ICD-10 code for neonatal urinary tract infection?

The ICD-10-CM code for neonatal urinary tract infection is P39.3 (sometimes written as P393). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P39.3 (Other infections specific to the perinatal period) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report neonatal urinary tract infection on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P39.3 group to?

When neonatal urinary tract infection 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 P39.3 a CC or MCC?

CMS lists P39.3 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 54 closely related codes in its exclusion list.

Does P39.3 need an additional code?

When the condition applies, yes. The Use Additional Code note at P39, which applies to P39.3, reads: code to identify organism or specific infection. The additional code is reported after P39.3.