P15-P18
Medium Complexity

Digestive system disorders of newborn

Primary Specialty: Pediatrics
Last Updated: 2025-09-09

ICD-10 Codes (0)

0 billable
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

P04.49
Newborn affected by maternal use of other drugs of addiction

Revised Codes (1)

P04.17
Newborn affected by maternal use of cocaine - updated neonatal abstinence syndrome correlation

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 P15-P18 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

high priority

The P15-P18 range in the ICD-10 code set is dedicated to digestive system disorders of the newborn. This range includes codes for conditions such as neonatal difficulty in feeding at breast, neonatal regurgitation and rumination, neonatal dysphagia, and other congenital digestive system disorders. These codes are used to document diagnoses in newborns and are critical for accurate medical records, billing, and research purposes.

Key Usage Points:

  • Always code to the highest level of specificity.
  • Use additional codes, if necessary, to identify any associated feeding difficulties.
  • Use additional code to identify any associated manifestations.
  • For diseases classified elsewhere, code first the underlying disease.
  • Consider using a code from P92 if the condition is feeding related.

Coding Guidelines

When to Use:

  • When a newborn is diagnosed with a digestive system disorder.
  • When a newborn has difficulty feeding at the breast.
  • When a newborn presents with neonatal dysphagia.
  • When a newborn has congenital digestive system disorders.

When NOT to Use:

  • When the patient is not a newborn.
  • When the digestive disorder is not congenital.
  • When the condition is related to feeding but not specifically to the digestive system.
  • When the condition is a manifestation of another underlying disease.

Code Exclusions

Always cross-verify the condition with the ICD-10 coding manual to ensure the correct code is being used.

Documentation Requirements

Documentation for P15-P18 codes should be comprehensive, including a detailed description of the newborn's condition, any associated complications or manifestations, and the specific type of digestive system disorder.

Clinical Information:

  • Detailed description of the digestive system disorder.
  • Specific type of digestive system disorder.
  • Any associated complications or manifestations.
  • Any related feeding difficulties.

Supporting Evidence:

  • Clinical examination findings.
  • Laboratory test results.
  • Imaging results.
  • Consultation notes from specialists.
Good Documentation Example:

Newborn diagnosed with neonatal dysphagia. Difficulty in swallowing observed. No associated complications.

Poor Documentation Example:

Newborn has difficulty swallowing.

Common Documentation Errors:

  • Not coding to the highest level of specificity.
  • Not documenting associated complications or manifestations.
  • Not using additional codes for related feeding difficulties.

Range Statistics

3
Total Codes
0
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:16

Coding Complexity

Medium
Complexity Rating

The complexity of these codes is considered medium because while the conditions are specific, they require detailed documentation and the use of additional codes for associated conditions or complications.

Key Factors:
  • Identifying the specific type of digestive system disorder.
  • Determining any associated complications or manifestations.
  • Using additional codes for related feeding difficulties.
  • Coding to the highest level of specificity.

Specialty Focus

These codes are primarily used by pediatricians, neonatologists, and gastroenterologists who are treating newborns with digestive system disorders.

Primary Specialties:
Pediatrics
40%
Neonatology
35%
Gastroenterology
25%
Clinical Scenarios:
  • Newborn diagnosed with neonatal dysphagia.
  • Newborn with neonatal regurgitation and rumination.
  • Newborn with difficulty feeding at the breast.
  • Newborn with other congenital digestive system disorders.

Resources & References

Resources for these codes include the official ICD-10 coding manual, clinical reference materials, and educational resources on neonatal digestive system disorders.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • American Academy of Pediatrics guidelines
  • World Health Organization's ICD-10 guidelines

Clinical References:

  • Clinical reference materials on neonatal digestive system disorders
  • Specialist consultation notes

Educational Materials:

  • Educational resources on coding for neonatal conditions
  • Webinars and workshops on ICD-10 coding

Frequently Asked Questions

What is the highest level of specificity for these codes?

The highest level of specificity requires identifying the specific type of digestive system disorder, any associated complications or manifestations, and any related feeding difficulties.