P78.0 Perinatal intestinal perforation
Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.
Applicable to
Applies from P78 Other perinatal digestive system disorders
Excludes1 (never code together)
- cystic fibrosis (E84.0-E84.9)
- neonatal gastrointestinal hemorrhages (P54.0-P54.3)
Risk adjustment (HCC)
- CMS-HCC V28: HCC 78 — Intestinal Obstruction/Perforation
MS-DRG index
Defines the logic of DRG(s) 791 in MDC 15.
Approximate ICD-9-CM (GEMs)
777.6 Perinatal intestinal perforation
Code annotations containing back-references to P78.0
Back-references to P78.0
- Type 1 Excludes:
K65 Peritonitis ("neonatal peritonitis (P78.0-P78.1)")
Diagnosis Index entries for P78.0
- Meconium › peritonitis
- Newborn (infant) (liveborn) (singleton) › affected by › intestinal perforation
- Newborn (infant) (liveborn) (singleton) › affected by › meconium peritonitis
- Perforation, perforated (nontraumatic) (of) › bowel › newborn
- Perforation, perforated (nontraumatic) (of) › colon › newborn
- Perforation, perforated (nontraumatic) (of) › ileum › newborn
- Perforation, perforated (nontraumatic) (of) › intestine NEC › newborn
- Perforation, perforated (nontraumatic) (of) › intestine NEC › ulcerative NEC › newborn
- Perforation, perforated (nontraumatic) (of) › rectum › newborn
- Perforation, perforated (nontraumatic) (of) › sigmoid › newborn
- Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › meconium (newborn)
- Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › neonatal › meconium
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative › intestine, intestinal › perforating › newborn
Nearby codes
P78 Other perinatal digestive system disordersP78.0 Perinatal intestinal perforation (this code)P78.1 Other neonatal peritonitisP78.2 Neonatal hematemesis and melena due to swallowed maternal bloodP78.3 Noninfective neonatal diarrheaP78.8 Other specified perinatal digestive system disordersP78.81 Congenital cirrhosis (of liver)