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ICD-10-CM 2027 diagnosis code

P13.4Fracture of clavicle due to birth injury

✓ Billable / specific

P13.4 is a valid, billable ICD-10-CM code for fracture of clavicle due to birth injury. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About P13.4

P13.4 is the ICD-10-CM diagnosis code for fracture of clavicle due to birth injury. It belongs to category P13 (birth injury to skeleton), block P10-P15 (birth trauma) and chapter 16 (certain conditions originating in the perinatal period). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within P13 (birth injury to skeleton), P13.4 is specifically for fracture of clavicle due to birth injury. Related codes cover fracture of skull due to birth injury (P13.0), other birth injuries to skull (P13.1), birth injury to femur (P13.2), birth injury to other long bones (P13.3), birth injuries to other parts of skeleton (P13.8) and unspecified (P13.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 794 (Neonate with Other Significant Problems, relative weight 1.4935), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 767.2 (fracture of clavicle due to birth trauma).

Notes that apply from higher levels

Instructions written at a parent level also apply to P13.4.

› From P13 Birth injury to skeleton
Excludes2
  • birth injury to spine (P11.5)

Broader instructions also apply from Chapter 16: Certain conditions originating in the perinatal period.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to P13.4.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 767.2Fracture of clavicle due to birth traumaexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about P13.4

Is P13.4 billable?

Yes. P13.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can P13.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict P13.4 as a principal diagnosis.

Is P13.4 a CC or MCC?

No. P13.4 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does P13.4 group to?

P13.4 is used in the MS-DRG v44.0 logic for MS-DRG 794 (Neonate with Other Significant Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for P13.4?

The CMS General Equivalence Mappings map P13.4 to ICD-9-CM 767.2.