ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 P11.3

Billable / Specific

Birth injury to facial nerve

P11
Block
1
Synonyms
35
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM P11.3

ICD-10-CM code P11.3 represents Birth injury to facial nerve. This is a billable/specific code in the Perinatal Period chapter (block P11). The 2026 edition of ICD-10-CM P11.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under P11.3. Per CMS ICD-10-CM Tabular 2026.

  • Facial palsy due to birth injury

Medicare LCD Coverage for P11.3

Local Coverage Determinations (LCDs) from CMS MACs that list P11.3 as a covered diagnosis.

35 LCDs

Showing top 10 of 35 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95926 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95925 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95927 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95938 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 67908 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 67915 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 67921 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 67922 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 15823 →
CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Article ID: 56503, Effective: 2025-01-01 00:00:00, 193 covered, 0 non-covered
CPT 67909 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing P11.3.

6 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Policy ID: ART-56503
Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-56722
Billing and Coding: Somatosensory Testing
Policy ID: ART-57041
Billing and Coding: Somatosensory Testing
Policy ID: ART-57597
Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-57604

CPT Codes Commonly Billed with P11.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for P11.3

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 P11.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
P11.3 7675 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 P11.3, Billing FAQ

Is ICD-10 code P11.3 billable? +

Yes, P11.3 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 P11.3? +

ICD-10 P11.3 includes: Facial palsy due to birth injury.

What ICD-9 codes does P11.3 map to? +

Per CMS GEMs, P11.3 maps to ICD-9 codes: 7675. 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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