ICD-10 P11.5
Billable / SpecificBirth injury to spine and spinal cord
About ICD-10-CM P11.5
ICD-10-CM code P11.5 represents Birth injury to spine and spinal cord. This is a billable/specific code in the Perinatal Period chapter (block P11). The 2026 edition of ICD-10-CM P11.5 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P11.5. Per CMS ICD-10-CM Tabular 2026.
- Fracture of spine due to birth injury
Medicare LCD Coverage for P11.5
Local Coverage Determinations (LCDs) from CMS MACs that list P11.5 as a covered diagnosis.
Showing top 10 of 18 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P11.5.
2 Cigna
5 Medicare
2 Aetna
CPT Codes Commonly Billed with P11.5
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 P11.5 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 |
|---|---|---|
| P11.5 | 7674 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P11.5
Other codes in section P10-P15 (Birth trauma).
ICD-10 P11.5, Billing FAQ
Is ICD-10 code P11.5 billable? +
Yes, P11.5 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 P11.5? +
ICD-10 P11.5 includes: Fracture of spine due to birth injury.
What ICD-9 codes does P11.5 map to? +
Per CMS GEMs, P11.5 maps to ICD-9 codes: 7674. 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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