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

ICD-10 P95

Billable / Specific

Stillbirth

P95
Block
3
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM P95

ICD-10-CM code P95 represents Stillbirth. This is a billable/specific code in the Perinatal Period chapter (block P95). The 2026 edition of ICD-10-CM P95 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under P95. Per CMS ICD-10-CM Tabular 2026.

  • Deadborn fetus NOS
  • Fetal death of unspecified cause
  • Stillbirth NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with P95. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • maternal care for intrauterine death (O36.4)
  • missed abortion (O02.1)
  • outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)

Medicare LCD Coverage for P95

Local Coverage Determinations (LCDs) from CMS MACs that list P95 as a covered diagnosis.

No Medicare LCDs reference P95 as covered

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 P95.

No commercial payer policies reference P95 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P95 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with P95

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

No procedure linkages on file for P95

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 P95 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
P95 7799 10000

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

ICD-10 P95, Billing FAQ

Is ICD-10 code P95 billable? +

Yes, P95 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 P95? +

ICD-10 P95 includes: Deadborn fetus NOS; Fetal death of unspecified cause; Stillbirth NOS.

What codes are Type 1 Excludes for P95? +

Type 1 Excludes (never code together with P95): maternal care for intrauterine death (O36.4); missed abortion (O02.1); outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)

What ICD-9 codes does P95 map to? +

Per CMS GEMs, P95 maps to ICD-9 codes: 7799. 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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