2027 ICD-10-CM Diagnosis Code P96.0Congenital renal failure
ICD-10-CM Codes›P00–P96›P90-P96›P96
- Billable — Valid for Submission
- Chronic Condition
P96.0 is a billable ICD-10-CM diagnosis code for congenital renal failure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified perinatal conditions.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Absent renal function
- Acquired platelet function disorder
- Action myoclonus renal failure syndrome
- Acute renal failure with oliguria
- Acute symptomatic epileptic seizure due to metabolic disorder
- Acute symptomatic epileptic seizure due to uremia
- Anuria
- Congenital renal failure
- Congenital uremia
- Decreased urine output
- Finding of measures of urine output
- Hyperphosphatemia
- Hyperuricemia, pulmonary hypertension, renal failure, alkalosis syndrome
- Myoclonic disorder due to uremia
- Non-functioning kidney
- Oliguria
- Platelet dysfunction associated with uremia
- Renal failure syndrome
- Renal failure-associated hyperphosphatemia
- Uremia
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to P96.0: its own notes plus those printed at 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.
- 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
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Uremia of newborn
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 P96.0, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming P96.0: they are not reported together with it, unless the two conditions are unrelated.
- N19 Unspecified kidney failureuremia of newborn (P96.0)
Excludes2 1
These codes carry an Excludes2 note naming P96.0: its condition is not part of those codes, and both may be reported when the patient has both.
- Block N17-N19 Acute kidney failure and chronic kidney diseasecongenital renal failure (P96.0)
Index to Diseases and InjuriesGuidance
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Kidney Failure
Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert P96.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About P96.0Overview
What is the ICD-10 code for congenital renal failure?
The ICD-10-CM code for congenital renal failure is P96.0 (sometimes written as P960). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is P96.0 (Other conditions originating in the perinatal period) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report congenital renal failure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does P96.0 group to?
When congenital renal failure 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 P96.0?
Under the General Equivalence Mappings, congenital renal failure converts to ICD-9-CM 779.89 (perinatal condition NEC). The mapping is approximate, so confirm the match fits the documentation.
