`Z38.65` Quintuplet liveborn infant, delivered vaginally

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

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.

V34.00 Other multiple birth (three or more), mates all liveborn, born in hospital, delivered without mention of cesarean section (approximate)
V35.00 Other multiple birth (three or more), mates all still born, born in hospital, delivered without mention of cesarean section (approximate)
V36.00 Other multiple birth (three or more), mates liveborn and stillborn, born in hospital, delivered without mention of cesarean section (approximate)
V37.00 Other multiple birth (three or more), unspecified whether mates liveborn or stillborn, born in hospital, delivered without mention of cesarean section (approximate)

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.