ICD-10-CM 2027 diagnosis code
P81.9Disturbance of temperature regulation of newborn, unspecified
P81.9 is a valid, billable ICD-10-CM code for disturbance of temperature regulation of newborn, unspecified. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Disturbance of temperature regulation of newborn, unsp
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 P81.9
P81.9 is the ICD-10-CM diagnosis code for disturbance of temperature regulation of newborn, unspecified. It belongs to category P81 (other disturbances of temperature regulation of newborn), block P80-P83 (conditions involving the integument and temperature regulation of 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 P81, choose P81.9 (Disturbance of temperature regulation of newborn, unspecified) only when documentation doesn't support a more specific option: environmental hyperthermia of newborn (P81.0) and other specified disturbances of temperature regulation of newborn (P81.8).
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 778.4 (other disturbances of temperature regulation of newborn).
Coding notes
- Fever of newborn NOS
Notes that apply from higher levels
Instructions written at a parent level also apply to P81.9.
Broader instructions also apply from Chapter 16: Certain conditions originating in the perinatal period.
Alphabetic index entries
6 entriesTerms in the official ICD-10-CM index that lead to P81.9.
- Disorder (of) › temperature regulation, newborn
- Disturbance (s) › temperature › regulation, newborn
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) › newborn
- Hyperthermia (of unknown origin) › newborn
- Newborn (infant) (liveborn) (singleton) › fever
- Pyrexia (of unknown origin) › newborn
Codes whose notes reference P81.9
- R50Excludes1
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 →- 778.4Other disturbances of temperature regulation of newbornapproximate
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 P81.9
Is P81.9 billable?
- Yes. P81.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can P81.9 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict P81.9 as a principal diagnosis.
Is P81.9 a CC or MCC?
- No. P81.9 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does P81.9 group to?
- P81.9 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 P81.9?
- The CMS General Equivalence Mappings map P81.9 to ICD-9-CM 778.4.