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

ICD-10 P12.0

Billable / Specific

Cephalhematoma due to birth injury

P12
Block
0
Synonyms
28
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM P12.0

ICD-10-CM code P12.0 represents Cephalhematoma due to birth injury. This is a billable/specific code in the Perinatal Period chapter (block P12). The 2026 edition of ICD-10-CM P12.0 became effective on October 1, 2025.

Medicare LCD Coverage for P12.0

Local Coverage Determinations (LCDs) from CMS MACs that list P12.0 as a covered diagnosis.

28 LCDs

Showing top 10 of 28 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72142 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70450 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72127 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70551 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70543 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70482 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72126 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70558 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing P12.0.

1 policies

1 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with P12.0

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

No procedure linkages on file for P12.0

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 P12.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
P12.0 76719 10000

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

Codes Adjacent To P12.0

Other codes in section P10-P15 (Birth trauma).

P10 Intracranial laceration and hemorrhage due to birth injury (non-billable) P10.0 Subdural hemorrhage due to birth injury P10.1 Cerebral hemorrhage due to birth injury P10.2 Intraventricular hemorrhage due to birth injury P10.3 Subarachnoid hemorrhage due to birth injury P10.4 Tentorial tear due to birth injury P10.8 Other intracranial lacerations and hemorrhages due to birth injury P10.9 Unspecified intracranial laceration and hemorrhage due to birth injury P11 Other birth injuries to central nervous system (non-billable) P11.0 Cerebral edema due to birth injury P11.1 Other specified brain damage due to birth injury P11.2 Unspecified brain damage due to birth injury P11.3 Birth injury to facial nerve P11.4 Birth injury to other cranial nerves P11.5 Birth injury to spine and spinal cord P11.9 Birth injury to central nervous system, unspecified P12 Birth injury to scalp (non-billable) P12.1 Chignon (from vacuum extraction) due to birth injury P12.2 Epicranial subaponeurotic hemorrhage due to birth injury P12.3 Bruising of scalp due to birth injury

ICD-10 P12.0, Billing FAQ

Is ICD-10 code P12.0 billable? +

Yes, P12.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does P12.0 map to? +

Per CMS GEMs, P12.0 maps to ICD-9 codes: 76719. 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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