ICD-10 P92.0
Non-Billable HeaderVomiting of newborn
About ICD-10-CM P92.0
ICD-10-CM code P92.0 represents Vomiting of newborn. This is a non-billable header code in the Perinatal Period chapter (block P92). The 2026 edition of ICD-10-CM P92.0 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 P92.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- vomiting of child over 28 days old (R11.-)
Medicare LCD Coverage for P92.0
Local Coverage Determinations (LCDs) from CMS MACs that list P92.0 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 P92.0.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P92.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P92.0
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 P92.0
Other codes in section P90-P96 (Other disorders originating in the perinatal period).
ICD-10 P92.0, Billing FAQ
Is ICD-10 code P92.0 billable? +
No, P92.0 is a non-billable header code. Use a more specific child code from block P92 when submitting claims.
What codes are Type 1 Excludes for P92.0? +
Type 1 Excludes (never code together with P92.0): vomiting of child over 28 days old (R11.-)
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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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