ICD-10 P96.81
Billable / SpecificExposure to (parental) (environmental) tobacco smoke in the perinatal period
About ICD-10-CM P96.81
ICD-10-CM code P96.81 represents Exposure to (parental) (environmental) tobacco smoke in the perinatal period. This is a billable/specific code in the Perinatal Period chapter (block P96). The 2026 edition of ICD-10-CM P96.81 became effective on October 1, 2025.
Type 2 Excludes
Not included here, the excluded code is not part of P96.81, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- newborn affected by in utero exposure to tobacco (P04.2)
- exposure to environmental tobacco smoke after the perinatal period (Z77.22)
Medicare LCD Coverage for P96.81
Local Coverage Determinations (LCDs) from CMS MACs that list P96.81 as a covered diagnosis.
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Commercial Payer Coverage
Coverage policies from major commercial payers referencing P96.81.
1 Medicare
CPT Codes Commonly Billed with P96.81
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.
Convert P96.81 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| P96.81 | 7608 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P96.81
Other codes in section P90-P96 (Other disorders originating in the perinatal period).
ICD-10 P96.81, Billing FAQ
Is ICD-10 code P96.81 billable? +
Yes, P96.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 2 Excludes for P96.81? +
Type 2 Excludes (may be coded together when both conditions exist): newborn affected by in utero exposure to tobacco (P04.2); exposure to environmental tobacco smoke after the perinatal period (Z77.22)
What ICD-9 codes does P96.81 map to? +
Per CMS GEMs, P96.81 maps to ICD-9 codes: 7608. 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 June 2, 2026.
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