2026 ICD-10-CM Diagnosis Code P96.5Complication to newborn due to (fetal) intrauterine procedure

ICD-10-CM CodesP00–P96P90-P96P96

ICD-10-CM P96.5
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P96.5 is a billable ICD-10-CM diagnosis code for complication to newborn due to (fetal) intrauterine procedure. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 794. Coders also document this condition as neonatal disorder due to and following fetal blood sampling. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified perinatal conditions.

Code Identity

ICD-10-CM Code
P96.5
Billable Status
Yes — Valid for Submission
Code Describes
Complication to newborn due to (fetal) intrauterine procedure
Short Description
Comp to newborn due to (fetal) intrauterine procedure
Parent Code
Other conditions originating in the perinatal period

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP90-P96Other disorders originating in the perinatal period
CategoryP96Other conditions originating in the perinatal period
This CodeP96.5Complication to newborn due to (fetal) intrauterine procedure

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Neonatal disorder due to and following fetal blood sampling
  • Neonatal disorder due to and following operative procedure on fetus
  • Neonatal iatrogenic skin trauma
  • Neonatal iatrogenic skin trauma due to antenatal intervention
  • Neonatal traumatic disorder

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 2 Excludes

  • newborn affected by amniocentesis P00.6

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR PNL013
Other specified and unspecified perinatal conditions
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 P96.5 to ICD-9-CMHistory

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

ICD-9-CM
779.89 Perinatal condition NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P96.5Overview

What is the ICD-10 code for complication to newborn due to (fetal) intrauterine procedure?

The ICD-10-CM code for complication to newborn due to (fetal) intrauterine procedure is P96.5 (sometimes written as P965). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is P96.5 (Other conditions originating in the perinatal period) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report complication to newborn due to (fetal) intrauterine procedure on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does P96.5 group to?

When complication to newborn due to (fetal) intrauterine procedure 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 1.4759. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of P96.5?

Under the General Equivalence Mappings, complication to newborn due to (fetal) intrauterine procedure converts to ICD-9-CM 779.89 (perinatal condition NEC). The mapping is approximate, so confirm the match fits the documentation.