2026 ICD-10-CM Diagnosis Code P96.9Condition originating in the perinatal period, unspecified

ICD-10-CM Codes›P00–P96›P90-P96›P96

ICD-10-CM P96.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P96.9 is a billable ICD-10-CM diagnosis code for condition originating in the perinatal period, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified perinatal conditions.

Code Identity

ICD-10-CM Code
P96.9
Billable Status
Yes — Valid for Submission
Code Describes
Condition originating in the perinatal period, unspecified
Short Description
Condition originating in the perinatal period, unspecified
Same as the full description in the CMS dataset.
Parent Code
P96
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 CodeP96.9Condition originating in the perinatal period, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal weight
  • Birth weight abnormality
  • Disorder due to slow fetal growth, low and/or high birth weight
  • Fetal and/or neonatal disorder
  • Fetal intrapartum and/or early neonatal disorder
  • Finding of state at birth
  • General health deterioration
  • Gestation abnormality
  • Infant in poor condition at birth
  • Neonatal condition - finding
  • Perinatal disorder
  • Perinatal disorder of growth and/or development
  • Poor condition at birth without known asphyxia

Tabular List NotesGuidance

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

Inclusion Terms

  • Congenital debility NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Debility(chronic) (general) (nervous)
      • congenital or neonatal NOS

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

Clinical InformationClinical

  • Perinatal Disorder

    a non-neoplastic or neoplastic disorder occurring during the period from about five months before birth to one month after birth.

  • First Degree Perineal Laceration

    injury to perineal skin only. (revitalize)

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 P96.9 to ICD-9-CMHistory

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

ICD-9-CM
779.9 Perinatal condition NOS
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 P96.9Overview

Is P96.9 (Other conditions originating in the perinatal period) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report condition originating in the perinatal period, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

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

Under the General Equivalence Mappings, condition originating in the perinatal period, unspecified converts to ICD-9-CM 779.9 (perinatal condition NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.