ICD-10-CM 2027 diagnosis code
P74.1Dehydration of newborn
P74.1 is a valid, billable ICD-10-CM code for dehydration of newborn. 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 P74.1
P74.1 is the ICD-10-CM diagnosis code for Dehydration of newborn. It belongs to category P74 (other transitory neonatal electrolyte and metabolic disturbances), block P70-P74 (transitory endocrine and metabolic disorders specific to newborn) 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 P74 (other transitory neonatal electrolyte and metabolic disturbances), P74.1 is specifically for Dehydration of newborn. Related codes cover late metabolic acidosis of newborn (P74.0), disturbances of sodium balance of newborn (P74.2), disturbances of potassium balance of newborn (P74.3), other transitory electrolyte disturbances of newborn (P74.4), transitory tyrosinemia of newborn (P74.5), transitory hyperammonemia of newborn (P74.6), other transitory metabolic disturbances of newborn (P74.8) and transitory metabolic disturbance of newborn, unspecified (P74.9).
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 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), 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 775.5 (other transitory neonatal electrolyte disturbances).
Notes that apply from higher levels
Instructions written at a parent level also apply to P74.1.
Broader instructions also apply from P70-P74 Transitory endocrine and metabolic disorders specific to newborn and Chapter 16: Certain conditions originating in the perinatal period.
Alphabetic index entries
2 entriesTerms in the official ICD-10-CM index that lead to P74.1.
Codes whose notes reference P74.1
- E86Excludes1
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
MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period
ICD-9-CM equivalent
Converter →- 775.5Other transitory neonatal electrolyte disturbancesapproximate
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 P74.1
Is P74.1 billable?
- Yes. P74.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can P74.1 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict P74.1 as a principal diagnosis.
Is P74.1 a CC or MCC?
- No. P74.1 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does P74.1 group to?
- P74.1 is used in the MS-DRG v44.0 logic for MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major 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 P74.1?
- The CMS General Equivalence Mappings map P74.1 to ICD-9-CM 775.5.