2027 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 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

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 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

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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P96.9: 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.

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

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.

  • Congenital debility NOS

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 P96.9, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming P96.9: they are not reported together with it, unless the two conditions are unrelated.

  • R53.8 Other malaise and fatigue
    congenital debility (P96.9)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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 P96.9 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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P96.9Overview

What is the ICD-10 code for condition originating in the perinatal period, unspecified?

The ICD-10-CM code for condition originating in the perinatal period, unspecified is P96.9 (sometimes written as P969). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

What MS-DRG does P96.9 group to?

When condition originating in the perinatal period, unspecified 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 P96.9?

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.