POA Exempt: Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04) ICD-10-CM
The 12 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.
Exempt Codes in This Range 12 codes · 1 category
P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy12 codes
- P00.0 Newborn affected by maternal hypertensive disorders
- P00.1 Newborn affected by maternal renal and urinary tract diseases
- P00.2 Newborn affected by maternal infectious and parasitic diseases
- P00.3 Newborn affected by other maternal circulatory and respiratory diseases
- P00.4 Newborn affected by maternal nutritional disorders
- P00.5 Newborn affected by maternal injury
- P00.6 Newborn affected by surgical procedure on mother
- P00.7 Newborn affected by other medical procedures on mother, not elsewhere classified
- P00.81 Newborn affected by periodontal disease in mother
- P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
- P00.89 Newborn affected by other maternal conditions
- P00.9 Newborn affected by unspecified maternal condition
Questions About This Category
Why are these codes POA exempt?
The codes for newborn affected by maternal factors and by complications of pregnancy, labor, and delivery describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.
How many codes in this range are exempt?
The FY 2026 exempt list contains 12 codes in this range, effective October 1, 2025 through September 30, 2026.
Are these codes billable?
The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.
More POA Exempt Categories
Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.
