ICD-10 P09
Non-Billable HeaderAbnormal findings on neonatal screening
About ICD-10-CM P09
ICD-10-CM code P09 represents Abnormal findings on neonatal screening. This is a non-billable header code in the Perinatal Period chapter (block P09). The 2026 edition of ICD-10-CM P09 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of P09, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
Includes
- Abnormal findings on state mandated newborn screens
- Failed newborn screening
Medicare LCD Coverage for P09
Local Coverage Determinations (LCDs) from CMS MACs that list P09 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 P09.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P09 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P09
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 P09 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 |
|---|---|---|
| P09 | 7966 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P09
Other codes in section P09 (Abnormal findings on neonatal screening).
ICD-10 P09, Billing FAQ
Is ICD-10 code P09 billable? +
No, P09 is a non-billable header code. Use a more specific child code from block P09 when submitting claims.
What codes are Type 2 Excludes for P09? +
Type 2 Excludes (may be coded together when both conditions exist): nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
What ICD-9 codes does P09 map to? +
Per CMS GEMs, P09 maps to ICD-9 codes: 7966. 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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