Alphabetic Index FY2027

P09.6

Abnormal findings on neonatal hearing screening

FY2027Chapter 16: Certain conditions originating in the perinatal period/P09 Abnormal findings on neonatal screening

BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - OtherIPF Primary · MS-DRG 947–948

P09.6 (also written P096) is a billable ICD-10-CM diagnosis code for abnormal findings on neonatal hearing screening. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 8 codes in category P09 (Abnormal findings on neonatal screening). The Alphabetic Index lists it under 1 entry. Its coding notes include 7 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 16 codes are never used on the maternal record, and chapter 15 codes are never used on the newborn record. Chapter 16 codes can be used for life if the condition persists.

Guidelines I.C.16.a.1Perinatal codes and the maternal recordRead the official text

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • encounter for hearing examination following failed hearing screening (Z01.110)
Inherited from P09 Abnormal findings on neonatal screening
  • nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
Also from chapter/block level (5 notes)
Inherited from Chapter 16 Certain conditions originating in the perinatal period
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

IPF Primary

IPF MS-DRG adjustment. A principal diagnosis of this code groups to one of these MS-DRGs. Which one depends on other facts of the stay, so the factor is a range:

MS-DRGDescriptionFactor
947Signs and Symptoms w MCC1.12
948Signs and Symptoms w/out MCC1.09
A principal diagnosis that groups to none of the 19 designated MS-DRGs gets no MS-DRG adjustment. Otherwise the claim still receives the federal per diem base rate and the other adjustments.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum A; code lists from the CMS MS-DRG Definitions Manual v44; effective for discharges on or after October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from P09 Abnormal findings on neonatal screening
  • Abnormal findings on state mandated newborn screens
  • Failed newborn screening
Also from chapter/block level (1 note)
Inherited from Chapter 16 Certain conditions originating in the perinatal period
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 16 Certain conditions originating in the perinatal period
  • Codes from this chapter are for use on newborn records only, never on maternal records

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry