ICD-10 P01.5
Billable / SpecificNewborn affected by multiple pregnancy
About ICD-10-CM P01.5
ICD-10-CM code P01.5 represents Newborn affected by multiple pregnancy. This is a billable/specific code in the Perinatal Period chapter (block P01). The 2026 edition of ICD-10-CM P01.5 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P01.5. Per CMS ICD-10-CM Tabular 2026.
- Newborn affected by triplet (pregnancy)
- Newborn affected by twin (pregnancy)
Medicare LCD Coverage for P01.5
Local Coverage Determinations (LCDs) from CMS MACs that list P01.5 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P01.5.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P01.5 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P01.5
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert P01.5 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| P01.5 | 7615 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P01.5
Other codes in section P00-P04 (Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery).
ICD-10 P01.5, Billing FAQ
Is ICD-10 code P01.5 billable? +
Yes, P01.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to P01.5? +
ICD-10 P01.5 includes: Newborn affected by triplet (pregnancy); Newborn affected by twin (pregnancy).
What ICD-9 codes does P01.5 map to? +
Per CMS GEMs, P01.5 maps to ICD-9 codes: 7615. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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