Certain conditions originating in the perinatal period (P00-P96)
Note:
Codes from this chapter are for use on newborn records only, never on maternal records
Includes:
conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes 2:
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) tetanus neonatorum (A33)
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
Note:
These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
P00
Newborn affected by maternal conditions that may be unrelated to present pregnancy[+]
Code first
any current condition in newborn
Excludes 2:
encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-) newborn affected by maternal complications of pregnancy (P01.-) newborn affected by maternal endocrine and metabolic disorders (P70-P74) newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
Newborn affected by other maternal circulatory and respiratory diseases Newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
Newborn affected by surgical procedure on mother Newborn affected by amniocentesis
Excludes 1:
Cesarean delivery for present delivery (P03.4) damage to placenta from amniocentesis, Cesarean delivery or surgical induction (P02.1) previous surgery to uterus or pelvic organs (P03.89)
Excludes 2:
newborn affected by complication of (fetal) intrauterine procedure (P96.5)
Newborn affected by other medical procedures on mother, not elsewhere classified Newborn affected by radiation to mother
Excludes 1:
damage to placenta from amniocentesis, cesarean delivery or surgical induction (P02.1) newborn affected by other complications of labor and delivery (P03.-)
Newborn affected by other maternal conditions Newborn affected by conditions classifiable to T80-T88 Newborn affected by maternal genital tract or other localized infections Newborn affected by maternal systemic lupus erythematosus
Use additional
code to identify infectious agent, if known
Excludes 2:
newborn affected by positive maternal group B streptococcus (GBS) colonization (P00.82)
Newborn affected by malpresentation before labor Newborn affected by breech presentation before labor Newborn affected by external version before labor Newborn affected by face presentation before labor Newborn affected by transverse lie before labor Newborn affected by unstable lie before labor
Newborn affected by other forms of placental separation and hemorrhage Newborn affected by abruptio placenta Newborn affected by accidental hemorrhage Newborn affected by antepartum hemorrhage Newborn affected by damage to placenta from amniocentesis, cesarean delivery or surgical induction Newborn affected by maternal blood loss Newborn affected by premature separation of placenta
P02.2
Newborn affected by other and unspecified morphological and functional abnormalities of placenta[+]
Newborn affected by other morphological and functional abnormalities of placenta Newborn affected by placental dysfunction Newborn affected by placental infarction Newborn affected by placental insufficiency
Newborn affected by placental transfusion syndromes Newborn affected by placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
Newborn affected by other compression of umbilical cord Newborn affected by umbilical cord (tightly) around neck Newborn affected by entanglement of umbilical cord Newborn affected by knot in umbilical cord
P02.6
Newborn affected by other and unspecified conditions of umbilical cord[+]
Newborn affected by other conditions from chorioamnionitis Newborn affected by amnionitis Newborn affected by membranitis Newborn affected by placentitis
Newborn affected by other malpresentation, malposition and disproportion during labor and delivery Newborn affected by contracted pelvis Newborn affected by conditions classifiable to O64-O66 Newborn affected by persistent occipitoposterior Newborn affected by transverse lie
Newborn affected by abnormal uterine contractions Newborn affected by conditions classifiable to O62.-, except O62.3 Newborn affected by hypertonic labor Newborn affected by uterine inertia
P03.8
Newborn affected by other specified complications of labor and delivery[+]
P03.81
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm[+]
Newborn affected by other specified complications of labor and delivery Newborn affected by abnormality of maternal soft tissues Newborn affected by conditions classifiable to O60-O75 and by procedures used in labor and delivery not included in P02.- and P03.0-P03.6 Newborn affected by induction of labor
Newborn affected by complication of labor and delivery, unspecified
P04
Newborn affected by noxious substances transmitted via placenta or breast milk[+]
Code first
any current condition in newborn, if applicable
Includes:
nonteratogenic effects of substances transmitted via placenta
Excludes 2:
congenital malformations (Q00-Q99) encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-) neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4) newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery
Excludes 2:
newborn affected by other maternal medication (P04.1-)
, if applicable, withdrawal symptoms from maternal use of drugs of addiction (P96.1) withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
Excludes 1:
dysmorphism due to warfarin (Q86.2) fetal hydantoin syndrome (Q86.1)
Excludes 2:
maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0) maternal use of drugs of addiction (P04.4-)