Z38.4 Twin liveborn infant, born outside hospital

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z38 Liveborn infants according to place of birth and type of delivery

Applicable to

• This category is for use as the principal code on the initial record of a newborn baby. It is to be used for the initial birth record only. It is not to be used on the mother's record.

MS-DRG index

Defines the logic of DRG(s) 795 in MDC 15.

Approximate ICD-9-CM (GEMs)

• V31.1 Twin birth, mate liveborn, born before admission to hospital (approximate)
• V31.2 Twin birth, mate liveborn, born outside hospital and not hospitalized (approximate)
• V32.1 Twin birth, mate stillborn, born before admission to hospital (approximate)
• V32.2 Twin birth, mate stillborn, born outside hospital and not hospitalized (approximate)
• V33.1 Twin birth, unspecified whether mate liveborn or stillborn, born before admission to hospital (approximate)
• V33.2 Twin birth, unspecified whether mate liveborn or stillborn, born outside hospital and not hospitalized (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Perinatal/Newborn diagnoses: Age conflict edit. These diagnoses occur only during the perinatal or newborn period, so the Medicare Code Editor flags them on any record where the patient is not age 0.

Diagnosis Index entries for Z38.4

• Infant (s) › liveborn (singleton) › twin › born outside hospital
• Newborn (infant) (liveborn) (singleton) › twin › born outside hospital

Nearby codes

• Z38.1 Single liveborn infant, born outside hospital
• Z38.2 Single liveborn infant, unspecified as to place of birth
• Z38.3 Twin liveborn infant, born in hospital
• Z38.30 Twin liveborn infant, delivered vaginally
• Z38.31 Twin liveborn infant, delivered by cesarean
• Z38.4 Twin liveborn infant, born outside hospital (this code)
• Z38.5 Twin liveborn infant, unspecified as to place of birth
• Z38.6 Other multiple liveborn infant, born in hospital
• Z38.61 Triplet liveborn infant, delivered vaginally
• Z38.62 Triplet liveborn infant, delivered by cesarean
• Z38.63 Quadruplet liveborn infant, delivered vaginally