P23
Non-Billable

Congenital pneumonia

Non-Billable / Non-Specific Code

What is Congenital pneumonia?

ICD-10-CM P23 is the diagnosis code for Congenital pneumonia. This code falls under the section "Respiratory and cardiovascular disorders specific to 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 P23

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as P23. They are mutually exclusive:

  • neonatal pneumonia resulting from aspiration (P24.-)

ICD-10-CM Code Hierarchy

Understanding where P23 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
P23.0Congenital pneumonia due to viral agentBillableP23.1Congenital pneumonia due to ChlamydiaBillableP23.2Congenital pneumonia due to staphylococcusBillableP23.3Congenital pneumonia due to streptococcus, group BBillableP23.4Congenital pneumonia due to Escherichia coliBillableP23.5Congenital pneumonia due to PseudomonasBillableP23.6Congenital pneumonia due to other bacterial agentsBillableP23.8Congenital pneumonia due to other organismsBillableP23.9Congenital pneumonia, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is P23 a billable ICD-10-CM code?

No, P23 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does P23 mean?

P23 is the ICD-10-CM diagnosis code for "Congenital pneumonia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is P23 in?

P23 is located in Section P19-P29 — "Respiratory and cardiovascular disorders specific to the perinatal period" within Chapter 16 of the ICD-10-CM Tabular List.

What are the sub-codes of P23?

P23 has 9 sub-code(s) that provide more specific detail: P23.0, P23.1, P23.2, P23.3, P23.4 and more.

When should I use P23?

Use P23 when the patients documented diagnosis matches "Congenital pneumonia" 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 Congenital pneumonia?

The ICD-10-CM code for Congenital pneumonia is P23.

Can P23 be used for primary diagnosis?

No, P23 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is P23 in?

P23 is in Chapter 16 of the ICD-10-CM Tabular List.

What conditions are excluded from P23?

Type 1 Excludes for P23 include: neonatal pneumonia resulting from aspiration (P24.-).

Is P23 valid for 2026?

Yes, P23 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousP22.9Respiratory distress of newborn, unspecifiedNext →P23.0Congenital pneumonia due to viral agent
Code Details
P23
Congenital pneumonia
Non-Billable / Non-Specific Code
16 — Certain conditions originating in the perinatal period (P00-P96)
P19-P29 — Respiratory and cardiovascular disorders specific to the perinatal period
2026 ICD-10-CM