P91.6
Non-Billable

Hypoxic ischemic encephalopathy [HIE]

Non-Billable / Non-Specific Code

What is Hypoxic ischemic encephalopathy [HIE]?

ICD-10-CM P91.6 is the diagnosis code for Hypoxic ischemic encephalopathy [HIE]. This code falls under the section "Other disorders originating in the perinatal period" within Chapter 16 — Certain conditions originating in the perinatal period (P00-P96). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for P91.6

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as P91.6. They are mutually exclusive:

  • Neonatal cerebral depression (P91.4)
  • Neonatal cerebral irritability (P91.3)
  • Neonatal coma (P91.5)

ICD-10-CM Code Hierarchy

Understanding where P91.6 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
P91.60Hypoxic ischemic encephalopathy [HIE], unspecifiedBillableP91.61Mild hypoxic ischemic encephalopathy [HIE]BillableP91.62Moderate hypoxic ischemic encephalopathy [HIE]BillableP91.63Severe hypoxic ischemic encephalopathy [HIE]Billable
Related Codes

Frequently Asked Questions

Is P91.6 a billable ICD-10-CM code?

No, P91.6 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does P91.6 mean?

P91.6 is the ICD-10-CM diagnosis code for "Hypoxic ischemic encephalopathy [HIE]". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of P91.6?

The parent code of P91.6 is P91 ("Other disturbances of cerebral status of newborn"). P91.6 provides a more specific classification within this category.

What section is P91.6 in?

P91.6 is located in Section P90-P96 — "Other disorders originating in the perinatal period" within Chapter 16 of the ICD-10-CM Tabular List.

What are the sub-codes of P91.6?

P91.6 has 4 sub-code(s) that provide more specific detail: P91.60, P91.61, P91.62, P91.63.

When should I use P91.6?

Use P91.6 when the patients documented diagnosis matches "Hypoxic ischemic encephalopathy [HIE]" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Hypoxic ischemic encephalopathy [HIE]?

The ICD-10-CM code for Hypoxic ischemic encephalopathy [HIE] is P91.6.

Can P91.6 be used for primary diagnosis?

No, P91.6 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is P91.6 in?

P91.6 is in Chapter 16 of the ICD-10-CM Tabular List.

What conditions are excluded from P91.6?

Type 1 Excludes for P91.6 include: Neonatal cerebral depression (P91.4); Neonatal cerebral irritability (P91.3); Neonatal coma (P91.5).

Is P91.6 valid for 2026?

Yes, P91.6 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousP91.5Neonatal comaNext →P91.60Hypoxic ischemic encephalopathy [HIE], unspecified
Code Details
P91.6
Hypoxic ischemic encephalopathy [HIE]
Non-Billable / Non-Specific Code
16 — Certain conditions originating in the perinatal period (P00-P96)
P90-P96 — Other disorders originating in the perinatal period
2026 ICD-10-CM