Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
ICD-10 Codes (33)
P11P11.0P11.1P11.2P11.3P11.4P11.5P11.9P12P12.0P12.1P12.2P12.3P12.4P12.8P12.81P12.89P12.9P13P13.0P13.1P13.2P13.3P13.4P13.8P13.9P14P14.0P14.1P14.2P14.3P14.8P14.9Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for P10-P14 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range P10-P14 is specifically designed to document newborns affected by maternal factors and complications of pregnancy, labor, and delivery. These codes are used to record conditions in newborns that are directly linked to maternal health issues, complications during pregnancy, or issues that arose during labor and delivery. The range covers a wide variety of conditions, including birth trauma, intrauterine hypoxia, and maternal conditions that may affect the newborn.
Key Usage Points:
- •Always code to the highest level of specificity.
- •Use additional codes to identify any associated conditions.
- •Use a code from category Z38 (Liveborn infants according to place of birth and type of delivery) as the principal diagnosis.
- •Codes from this range can be used throughout the life of the patient if the condition continues to affect the patient.
- •Remember to code also any associated prematurity (P07.-).
Coding Guidelines
When to Use:
- ✓When a newborn is affected by maternal hypertensive disorders.
- ✓When a newborn is affected by maternal complications of pregnancy.
- ✓When a newborn is affected by complications during labor and delivery.
- ✓When a newborn is affected by maternal infectious and parasitic diseases.
- ✓When a newborn is affected by maternal nutritional disorders.
When NOT to Use:
- ✗When the newborn's condition is not directly linked to maternal factors or complications of pregnancy, labor, and delivery.
- ✗When the condition is not present at the time of inpatient admission.
- ✗When the condition is not documented by a healthcare provider.
- ✗When the condition is not a current and active concern for the patient's health.
Code Exclusions
Always verify exclusions with the patient's medical record and the latest ICD-10 coding guidelines.
Documentation Requirements
Proper documentation for codes in the P10-P14 range requires detailed information about the newborn's condition, the maternal factors or complications that led to the condition, and any associated conditions. The documentation should be clear, concise, and specific.
Clinical Information:
- •Detailed description of the newborn's condition.
- •Specific maternal factors or complications that led to the condition.
- •Any associated conditions.
- •The impact of the condition on the newborn's health.
- •Any treatments or interventions.
Supporting Evidence:
- •Medical history records.
- •Laboratory test results.
- •Imaging results.
- •Notes from healthcare providers.
Good Documentation Example:
Newborn male, full term, delivered vaginally, affected by maternal gestational diabetes, showing signs of hypoglycemia. Treatment initiated with intravenous glucose.
Poor Documentation Example:
Newborn with low blood sugar.
Common Documentation Errors:
- ⚠Not documenting the specific maternal factors or complications.
- ⚠Not including associated conditions.
- ⚠Not providing enough detail about the newborn's condition.
- ⚠Not documenting treatments or interventions.
Range Statistics
Coding Complexity
The coding complexity for the P10-P14 range is considered medium. While the codes themselves are straightforward, the need to code to the highest level of specificity and to identify and code any associated conditions can add complexity. Additionally, understanding the relationship between maternal factors or complications and the newborn's condition requires a solid understanding of both obstetrics and neonatology.
Key Factors:
- ▸The need to code to the highest level of specificity.
- ▸The need to identify and code any associated conditions.
- ▸The need to understand the relationship between maternal factors or complications and the newborn's condition.
- ▸The need to keep up-to-date with the latest ICD-10 coding guidelines.
Specialty Focus
These codes are primarily used by pediatricians, neonatologists, and obstetricians. They are also relevant for any healthcare provider who treats newborns.
Primary Specialties:
Clinical Scenarios:
- • Newborn affected by maternal hypertensive disorders.
- • Newborn affected by maternal complications of pregnancy, such as gestational diabetes.
- • Newborn affected by complications during labor and delivery, such as birth trauma.
- • Newborn affected by maternal infectious and parasitic diseases.
- • Newborn affected by maternal nutritional disorders, such as vitamin deficiency.
Resources & References
There are many resources available to help with coding in the P10-P14 range. These include the official ICD-10 coding guidelines, clinical reference books, and educational materials.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Hospital Association's Coding Clinic
- Centers for Disease Control and Prevention's ICD-10 website
Clinical References:
- American Academy of Pediatrics' Red Book
- Merck Manual of Diagnosis and Therapy
Educational Materials:
- American Health Information Management Association's coding resources
- American Academy of Professional Coders' coding resources
Frequently Asked Questions
Can a code from the P10-P14 range be used as the principal diagnosis?
No, a code from category Z38 (Liveborn infants according to place of birth and type of delivery) should be used as the principal diagnosis. A code from the P10-P14 range can be used as an additional diagnosis.