2027 ICD-10-CM Diagnosis Code P74Other transitory neonatal electrolyte and metabolic disturbances

ICD-10-CM Codes›P00–P96›P70-P74›P74

ICD-10-CM P74
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P74 is a non-billable ICD-10-CM category code for other transitory neonatal electrolyte and metabolic disturbances, so it cannot be submitted on claims. Use a more specific code from this category instead, such as P74.0, P74.1, P74.21, and P74.22.

Code Identity

ICD-10-CM Code
P74
Billable Status
No — Non-Billable Category
Code Describes
Other transitory neonatal electrolyte and metabolic disturbances
Short Description
Oth transitory neonatal electrolyte and metabolic disturb
Chapter
P70-P74
Transitory endocrine and metabolic disorders specific to newborn

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP70-P74Transitory endocrine and metabolic disorders specific to newborn
CategoryP74Other transitory neonatal electrolyte and metabolic disturbances
This CodeP74Other transitory neonatal electrolyte and metabolic disturbances

Specific Coding for Oth transitory neonatal electrolyte and metabolic disturbOverview

Non-specific codes like P74 require more characters. Use one of these billable codes instead:

  • Use P74.0 for Late metabolic acidosis of newborn

  • Use P74.1 for Dehydration of newborn

  • P74.2 for Disturbances of sodium balance of newborn

  • Use P74.21 for Hypernatremia of newborn

  • Use P74.22 for Hyponatremia of newborn

  • P74.3 for Disturbances of potassium balance of newborn

  • Use P74.31 for Hyperkalemia of newborn

  • Use P74.32 for Hypokalemia of newborn

  • P74.4 for Other transitory electrolyte disturbances of newborn

  • Use P74.41 for Alkalosis of newborn

  • P74.42 for Disturbances of chlorine balance of newborn

  • Use P74.49 for Other transitory electrolyte disturbance of newborn

  • Use P74.5 for Transitory tyrosinemia of newborn

  • Use P74.6 for Transitory hyperammonemia of newborn

  • Use P74.8 for Other transitory metabolic disturbances of newborn

  • Use P74.9 for Transitory metabolic disturbance of newborn, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P74: its own notes plus those printed at block P70-P74 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 Block P70-P74 Transitory endocrine and metabolic disorders specific to newborn applies to 33 codes
  • transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment
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 P74, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming P74: they are not reported together with it, unless the two conditions are unrelated.

  • Chapter 4 (E00-E89) Endocrine, nutritional and metabolic diseases
    transitory endocrine and metabolic disorders specific to newborn (P70-P74) names P70-P74, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming P74: its condition is not part of those codes, and both may be reported when the patient has both.

  • P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy
    newborn affected by maternal endocrine and metabolic disorders (P70-P74) names P70-P74, which includes this code

Patient EducationClinical

Fluid and Electrolyte Balance

Electrolytes are minerals that have an electric charge when they are dissolved in water or body fluids, including blood. The electric charge can be positive or negative. You have electrolytes in your blood, urine (pee), tissues, and other body fluids.

The full article covers:

  • What are electrolytes?
  • What are the different types of electrolytes in your body?
  • What is an electrolyte imbalance?
  • What are the different types of electrolyte imbalances?
  • How are electrolyte imbalances diagnosed?
  • What are the treatments for electrolyte imbalances?

Read the full article at MedlinePlus

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

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 P74Overview

What is the ICD-10 code for other transitory neonatal electrolyte and metabolic disturbances?

P74 is the ICD-10-CM category for other transitory neonatal electrolyte and metabolic disturbances, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is P74 a billable code?

No. This is a category header that groups the codes for other transitory neonatal electrolyte and metabolic disturbances, and headers cannot be submitted on claims. Claims for other transitory neonatal electrolyte and metabolic disturbances need a more specific code from this category, such as P74.0, P74.1, and P74.21.