ICD-10 P72
Non-Billable HeaderOther transitory neonatal endocrine disorders
About ICD-10-CM P72
ICD-10-CM code P72 represents Other transitory neonatal endocrine disorders. This is a non-billable header code in the Perinatal Period chapter (block P72). The 2026 edition of ICD-10-CM P72 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 1 Excludes
Pure excludes, these codes can never be coded together with P72. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- congenital hypothyroidism with or without goiter (E03.0-E03.1)
- dyshormogenetic goiter (E07.1)
- dyshormonogenetic goiter (E07.1)
- Pendred's syndrome (E07.1)
Medicare LCD Coverage for P72
Local Coverage Determinations (LCDs) from CMS MACs that list P72 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 P72.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P72 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P72
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 P72
Other codes in section P70-P74 (Transitory endocrine and metabolic disorders specific to newborn).
ICD-10 P72, Billing FAQ
Is ICD-10 code P72 billable? +
No, P72 is a non-billable header code. Use a more specific child code from block P72 when submitting claims.
What codes are Type 1 Excludes for P72? +
Type 1 Excludes (never code together with P72): congenital hypothyroidism with or without goiter (E03.0-E03.1); dyshormogenetic goiter (E07.1); dyshormonogenetic goiter (E07.1)
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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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