ICD-10 P13
Non-Billable HeaderBirth injury to skeleton
About ICD-10-CM P13
ICD-10-CM code P13 represents Birth injury to skeleton. This is a non-billable header code in the Perinatal Period chapter (block P13). The 2026 edition of ICD-10-CM P13 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 P13, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- birth injury to spine (P11.5)
Medicare LCD Coverage for P13
Local Coverage Determinations (LCDs) from CMS MACs that list P13 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 P13.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P13 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P13
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.
Codes Adjacent To P13
Other codes in section P10-P15 (Birth trauma).
ICD-10 P13, Billing FAQ
Is ICD-10 code P13 billable? +
No, P13 is a non-billable header code. Use a more specific child code from block P13 when submitting claims.
What codes are Type 2 Excludes for P13? +
Type 2 Excludes (may be coded together when both conditions exist): birth injury to spine (P11.5)
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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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