ICD-10-CM 2027 diagnosis code
P19.1Metabolic acidemia in newborn first noted during labor
P19.1 is a valid, billable ICD-10-CM code for metabolic acidemia in newborn first noted during labor. 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 P19.1
P19.1 is the ICD-10-CM diagnosis code for metabolic acidemia in newborn first noted during labor. It belongs to category P19 (metabolic acidemia in newborn), block P19-P29 (respiratory and cardiovascular disorders specific to the perinatal period) 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 P19 (metabolic acidemia in newborn), P19.1 is specifically for metabolic acidemia in newborn first noted during labor. Related codes cover first noted before onset of labor (P19.0), noted at birth (P19.2) and unspecified (P19.9).
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 768.3 (fetal distress first noted during labor and delivery, in liveborn infant).
Notes that apply from higher levels
Instructions written at a parent level also apply to P19.1.
› From P19 Metabolic acidemia in newborn
- metabolic acidemia in newborn
Broader instructions also apply from Chapter 16: Certain conditions originating in the perinatal period.
Alphabetic index entries
1 entriesTerms in the official ICD-10-CM index that lead to P19.1.
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 →- 768.3Fetal distress first noted during labor and delivery, in liveborn infantapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about P19.1
Is P19.1 billable?
- Yes. P19.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can P19.1 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict P19.1 as a principal diagnosis.
Is P19.1 a CC or MCC?
- No. P19.1 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does P19.1 group to?
- P19.1 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 P19.1?
- The CMS General Equivalence Mappings map P19.1 to ICD-9-CM 768.3.