P09.5 Abnormal findings on neonatal screening for critical congenital heart disease
The ICD-10-CM code for Abnormal findings on neonatal screening for critical congenital heart disease is P09.5 (FY2026). It is a billable, claim-ready diagnosis code.
Classification
- Section
- P09: Abnormal findings on neonatal screening (P09)
- Category P09
- 9 codes (8 billable)
- FY2026 Status
- Stable since FY2024
Also Known As
ICD-10-CM Alphabetic Index entries that lead to P09.5:
- Failure, failed › newborn screening › neonatal congenital heart disease
- Abnormal, abnormality, abnormalities › neonatal screening › for › critical congenital heart disease
Inclusion Terms
- Neonatal congenital heart disease screening failure
U.S. Hospital Utilization
- An estimated 2,165 U.S. inpatient stays in 2023 included P09.5 among the documented diagnoses.
- 80 stays listed it as the principal diagnosis.
Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.
Official Coding Guidelines
Use of Z05 codes (newborn suspected condition ruled out)1) Use of Z05 codes Assign a code from category Z05, Observation and evaluation of newborn for suspected diseases and conditions ruled out, to identify those instances when a healthy newborn is evaluated for a suspected condition/disease that is determined after study not to be present. Do not use a code from category Z05 when the patient is documented to have signs or symptoms of a suspected problem; in such cases code the sign or symptom.
Z05 on other than the birth record2) Z05 on other than the birth record A code from category Z05 may also be assigned as a principal or first- listed code for readmissions or encounters when the code from category Z38 code no longer applies. Codes from category Z05 are for use only for healthy newborns and infants for which no condition after study is found to be present.
Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026