ICD-10-CM Excludes1 Notes · Chapter 16 · FY 2027 P00-P96

Excludes1 Notes in Chapter 16: Certain conditions originating in the perinatal period ICD-10-CM

An Excludes1 note means "NOT CODED HERE": the excluded code should never be reported together with the code above the note. In Chapter 16 (P00-P96), notes printed in the chapter name other codes 123 times, and Excludes1 Notes anywhere in the Tabular List name the chapter’s codes 250 times, covering 144 distinct codes, categories and ranges. Switch views to read the list either way.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
123
References in Its Notes
250
References to Its Codes
144
Chapter Codes Named
P00-P96
Chapter 16
Chapter 16

Excludes1 Notes by the code that carries the note

71 of 71 shown
  • P00.2 Newborn affected by maternal infectious and parasitic diseases
    • maternal genital tract or other localized infections (P00.8)
  • P00.6 Newborn affected by surgical procedure on mother
    • Cesarean delivery for present delivery (P03.4)
    • damage to placenta from amniocentesis, Cesarean delivery or surgical induction (P02.1)
    • previous surgery to uterus or pelvic organs (P03.89)
  • P00.7 Newborn affected by other medical procedures on mother, not elsewhere classified
    • damage to placenta from amniocentesis, cesarean delivery or surgical induction (P02.1)
    • newborn affected by other complications of labor and delivery (P03.-)
  • P01.2 Newborn affected by oligohydramnios
    • oligohydramnios due to premature rupture of membranes (P01.1)
  • P02.69 Newborn affected by other conditions of umbilical cord
    • newborn affected by single umbilical artery (Q27.0)
  • P03.81 Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm applies to 3 codes
    • neonatal cardiac dysrhythmia (P29.1-)
  • P03.82 Meconium passage during delivery
  • P04.1 Newborn affected by other maternal medication applies to 10 codes
    • dysmorphism due to warfarin (Q86.2)
    • fetal hydantoin syndrome (Q86.1)
  • P04.3 Newborn affected by maternal use of alcohol
    • fetal alcohol syndrome (Q86.0)
  • P05.2 Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age
    • newborn affected by fetal malnutrition with light for gestational age (P05.0-)
    • newborn affected by fetal malnutrition with small for gestational age (P05.1-)
  • P07.0 Extremely low birth weight newborn applies to 4 codes
    • low birth weight due to slow fetal growth and fetal malnutrition (P05.-)
  • P07.1 Other low birth weight newborn applies to 6 codes
    • low birth weight due to slow fetal growth and fetal malnutrition (P05.-)
  • P08.0 Exceptionally large newborn baby
    • syndrome of infant of diabetic mother (P70.1)
    • syndrome of infant of mother with gestational diabetes (P70.0)
  • P08.1 Other heavy for gestational age newborn
    • newborn with a birth weight of 4500 or more (P08.0)
    • syndrome of infant of diabetic mother (P70.1)
    • syndrome of infant of mother with gestational diabetes (P70.0)
  • P10 Intracranial laceration and hemorrhage due to birth injury applies to 7 codes
    • intracranial hemorrhage of newborn NOS (P52.9)
    • intracranial hemorrhage of newborn due to anoxia or hypoxia (P52.-)
    • nontraumatic intracranial hemorrhage of newborn (P52.-)
  • P10.0 Subdural hemorrhage due to birth injury
    • subdural hemorrhage accompanying tentorial tear (P10.4)
  • P13.1 Other birth injuries to skull
  • P22.8 Other respiratory distress of newborn
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn NOS (P28.5)
  • P22.9 Respiratory distress of newborn, unspecified
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn NOS (P28.5)
  • P23 Congenital pneumonia applies to 9 codes
    • neonatal pneumonia resulting from aspiration (P24.-)
  • P23.0 Congenital pneumonia due to viral agent
    • congenital rubella pneumonitis (P35.0)
  • P24.0 Meconium aspiration applies to 2 codes
    • meconium passage (without aspiration) during delivery (P03.82 )
    • meconium staining (P96.83 )
  • P26 Pulmonary hemorrhage originating in the perinatal period applies to 4 codes
    • acute idiopathic hemorrhage in infants over 28 days old (R04.81)
  • P28.11 Resorption atelectasis without respiratory distress syndrome
    • resorption atelectasis with respiratory distress syndrome (P22.0)
  • P28.2 Cyanotic attacks of newborn
  • P28.89 Other specified respiratory conditions of newborn
    • early congenital syphilitic rhinitis (A50.05)
  • P38 Omphalitis of newborn applies to 2 codes
    • omphalitis not of newborn (L08.82)
    • tetanus omphalitis (A33)
    • umbilical hemorrhage of newborn (P51.-)
  • P39.0 Neonatal infective mastitis
    • breast engorgement of newborn (P83.4)
    • noninfective mastitis of newborn (P83.4)
  • P39.1 Neonatal conjunctivitis and dacryocystitis
    • gonococcal conjunctivitis (A54.31)
  • P39.4 Neonatal skin infection
    • pemphigus neonatorum (L00)
    • staphylococcal scalded skin syndrome (L00)
  • Block note Block P50-P61 Hemorrhagic and hematological disorders of newborn applies to 67 codes
    • congenital stenosis and stricture of bile ducts (Q44.3)
    • Crigler-Najjar syndrome (E80.5)
    • Dubin-Johnson syndrome (E80.6)
    • Gilbert syndrome (E80.4)
    • hereditary hemolytic anemias (D55-D58)
  • P50 Newborn affected by intrauterine (fetal) blood loss applies to 8 codes
    • congenital anemia from intrauterine (fetal) blood loss (P61.3)
  • P51 Umbilical hemorrhage of newborn applies to 3 codes
    • omphalitis with mild hemorrhage (P38.1)
    • umbilical hemorrhage from cut end of co-twins cord (P50.5)
  • P52 Intracranial nontraumatic hemorrhage of newborn applies to 10 codes
    • intracranial hemorrhage due to birth injury (P10.-)
    • intracranial hemorrhage due to other injury (S06.-)
  • P54 Other neonatal hemorrhages applies to 9 codes
    • newborn affected by (intrauterine) blood loss (P50.-)
    • pulmonary hemorrhage originating in the perinatal period (P26.-)
  • P54.0 Neonatal hematemesis
    • neonatal hematemesis due to swallowed maternal blood (P78.2)
  • P54.1 Neonatal melena
    • neonatal melena due to swallowed maternal blood (P78.2)
  • P56 Hydrops fetalis due to hemolytic disease applies to 3 codes
    • hydrops fetalis NOS (P83.2)
  • P57.8 Other specified kernicterus
    • Crigler-Najjar syndrome (E80.5)
  • P58 Neonatal jaundice due to other excessive hemolysis applies to 9 codes
    • jaundice due to isoimmunization (P55-P57)
  • P59 Neonatal jaundice from other and unspecified causes applies to 7 codes
    • jaundice due to inborn errors of metabolism (E70-E88)
    • kernicterus (P57.-)
  • P59.2 Neonatal jaundice from other and unspecified hepatocellular damage applies to 2 codes
    • congenital viral hepatitis (P35.3)
  • P61 Other perinatal hematological disorders applies to 9 codes
    • transient hypogammaglobulinemia of infancy (D80.7)
  • P61.5 Transient neonatal neutropenia
    • congenital neutropenia (nontransient) (D70.0)
  • P70.0 Syndrome of infant of mother with gestational diabetes
    • newborn (with hypoglycemia) affected by maternal (pre-existing) diabetes mellitus (P70.1)
    • syndrome of infant of a diabetic mother (P70.1)
  • P70.1 Syndrome of infant of a diabetic mother
    • newborn (with hypoglycemia) affected by maternal gestational diabetes (P70.0)
    • syndrome of infant of mother with gestational diabetes (P70.0)
  • P71.1 Other neonatal hypocalcemia
    • neonatal hypoparathyroidism (P71.4)
  • P72 Other transitory neonatal endocrine disorders applies to 5 codes
    • congenital hypothyroidism with or without goiter (E03.0-E03.1)
    • dyshormogenetic goiter (E07.1)
    • dyshormonogenetic goiter (E07.1)
    • Pendred's syndrome (E07.1)
  • P74.0 Late metabolic acidosis of newborn
    • (fetal) metabolic acidosis of newborn (P19)
  • P76.0 Meconium plug syndrome
    • meconium ileus in cystic fibrosis (E84.11)
  • P76.1 Transitory ileus of newborn
    • Hirschsprung's disease (Q43.1)
  • P76.8 Other specified intestinal obstruction of newborn
    • intestinal obstruction classifiable to K56.-
  • P78 Other perinatal digestive system disorders applies to 10 codes
  • P78.84 Gestational alloimmune liver disease
  • P80.0 Cold injury syndrome
    • mild hypothermia of newborn (P80.8)
  • P83 Other conditions of integument specific to newborn applies to 11 codes
    • congenital malformations of skin and integument (Q80-Q84)
    • hydrops fetalis due to hemolytic disease (P56.-)
    • neonatal skin infection (P39.4)
    • staphylococcal scalded skin syndrome (L00)
  • P84 Other problems with newborn
    • intracranial hemorrhage due to anoxia or hypoxia (P52.-)
    • hypoxic ischemic encephalopathy [HIE] (P91.6-)
    • late metabolic acidosis of newborn (P74.0)
  • P90 Convulsions of newborn
    • benign myoclonic epilepsy in infancy (G40.3-)
    • benign neonatal convulsions (familial) (G40.3-)
  • P91.0 Neonatal cerebral ischemia
    • Neonatal cerebral infarction (P91.82-)
  • P91.6 Hypoxic ischemic encephalopathy [HIE] applies to 4 codes
    • Neonatal cerebral depression (P91.4)
    • Neonatal cerebral irritability (P91.3)
    • Neonatal coma (P91.5)
  • P91.82 Neonatal cerebral infarction applies to 4 codes
    • cerebral infarction (I63.-)
  • P92 Feeding problems of newborn applies to 10 codes
  • P92.0 Vomiting of newborn applies to 2 codes
    • vomiting of child over 28 days old (R11.-)
  • P92.01 Bilious vomiting of newborn
    • bilious vomiting in child over 28 days old (R11.14)
  • P92.09 Other vomiting of newborn
    • regurgitation of food in newborn (P92.1)
  • P92.6 Failure to thrive in newborn
    • failure to thrive in child over 28 days old (R62.51)
  • P93 Reactions and intoxications due to drugs administered to newborn applies to 2 codes
    • jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4-)
    • reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-P04.1, P04.4-)
    • withdrawal symptoms from maternal use of drugs of addiction (P96.1)
    • withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
  • P94.0 Transient neonatal myasthenia gravis
    • myasthenia gravis (G70.0)
  • P95 Stillbirth
  • P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
    • reactions and intoxications from maternal opiates and tranquilizers administered during labor and delivery (P04.0)
  • P96.83 Meconium staining

The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Excludes1 Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Excludes1 Notes

What does an Excludes1 note mean?

An Excludes1 note means “NOT CODED HERE!”: the excluded code should never be used at the same time as the code above the note. It is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition (Section I.A.12.a). The FY 2027 Tabular List has 5,411 of them; 5,284 name other codes, with 5,710 references to 3,528 distinct codes, categories and ranges.

Is there any exception to an Excludes1 note?

Yes: when the two conditions are unrelated to each other. The Guidelines’ example is F45.8, whose Excludes1 note names sleep related teeth grinding (G47.63). A patient with psychogenic dysmenorrhea (an inclusion term of F45.8) and teeth grinding may have both codes reported. If it is not clear whether the conditions are related, query the provider.

Related References

Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.