Non-Billable / Non-Specific Code
ICD-10-CM P96 is the diagnosis code for Other conditions originating in the perinatal period. 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.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where P96 sits in the ICD-10-CM classification helps ensure proper coding:
No, P96 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
P96 is the ICD-10-CM diagnosis code for "Other conditions originating in the perinatal period". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
P96 is located in Section P90-P96 — "Other disorders originating in the perinatal period" within Chapter 16 of the ICD-10-CM Tabular List.
P96 has 7 sub-code(s) that provide more specific detail: P96.0, P96.1, P96.2, P96.3, P96.5 and more.
Use P96 when the patients documented diagnosis matches "Other conditions originating in the perinatal period" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Other conditions originating in the perinatal period is P96.
No, P96 is non-billable. Use a more specific sub-code for primary diagnosis billing.
P96 is in Chapter 16 of the ICD-10-CM Tabular List.
Yes, P96 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.