P20-P116
Medium Complexity

Conditions involving the integument and temperature regulation of newborn

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

ICD-10 Codes (0)

0 billable
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No codes found matching your search

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 P20-P116 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 ICD-10 category P20-P116 encompasses codes related to conditions involving the integument and temperature regulation of newborns. This range includes conditions such as intrauterine hypoxia, birth asphyxia, neonatal jaundice, and disorders of temperature regulation. These codes are essential for accurately documenting and tracking newborn health conditions, facilitating appropriate treatment, and ensuring accurate billing.

Key Usage Points:

  • Always code to the highest level of specificity.
  • Consider the underlying cause when coding for these conditions.
  • Use additional codes to identify any associated conditions.
  • Remember that these codes are applicable only to newborns.
  • Ensure accurate documentation of the condition's onset and severity.

Coding Guidelines

When to Use:

  • When a newborn has a skin condition such as neonatal acne.
  • When a newborn is diagnosed with intrauterine hypoxia.
  • When a newborn is experiencing temperature regulation issues.
  • When a newborn is diagnosed with neonatal jaundice.
  • When a newborn has a birth injury affecting the skin.

When NOT to Use:

  • When the patient is not a newborn.
  • When the condition is not related to the integument or temperature regulation.
  • When the condition is a congenital malformation.
  • When the condition is a maternal condition affecting the fetus or newborn.
  • When the condition is a specific neonatal infectious disease.

Code Exclusions

Always verify exclusions with the latest ICD-10-CM official guidelines.

Documentation Requirements

Documentation for this code range should include a detailed description of the condition, its onset and severity, any associated conditions, and the specific treatment provided. The documentation should also clearly indicate that the patient is a newborn.

Clinical Information:

  • Detailed description of the condition
  • Onset and severity of the condition
  • Associated conditions
  • Specific treatment provided
  • Confirmation that the patient is a newborn

Supporting Evidence:

  • Laboratory test results
  • Clinical examination findings
  • Medical history
  • Treatment records
Good Documentation Example:

Newborn diagnosed with moderate intrauterine hypoxia, confirmed by clinical examination and laboratory tests. Treatment included oxygen therapy.

Poor Documentation Example:

Newborn with breathing problems.

Common Documentation Errors:

  • Lack of specificity in documentation
  • Failure to document associated conditions
  • Failure to confirm that the patient is a newborn
  • Inadequate documentation of treatment

Range Statistics

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

Coding Complexity

Medium
Complexity Rating

The coding complexity for this range is medium due to the need to determine the underlying cause, identify associated conditions, code to the highest level of specificity, navigate the exclusions, and keep up with changes in the ICD-10-CM official guidelines.

Key Factors:
  • Determining the underlying cause
  • Identifying associated conditions
  • Coding to the highest level of specificity
  • Navigating the exclusions
  • Keeping up with changes in the ICD-10-CM official guidelines

Specialty Focus

These codes are primarily used by pediatricians, neonatologists, and dermatologists who are treating newborns.

Primary Specialties:
Pediatrics
40%
Neonatology
50%
Dermatology
10%
Clinical Scenarios:
  • Newborn with intrauterine hypoxia due to umbilical cord complications
  • Newborn with birth asphyxia due to prolonged labor
  • Newborn with neonatal jaundice due to blood type incompatibility
  • Newborn with neonatal acne
  • Newborn with hypothermia due to exposure

Resources & References

Resources for this code range include the ICD-10-CM official guidelines, clinical reference sources, and educational materials.

Official Guidelines:

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

Clinical References:

  • American Academy of Pediatrics Clinical Practice Guidelines
  • Neonatology: Clinical Practice and Procedures

Educational Materials:

  • American Health Information Management Association (AHIMA) ICD-10 Training
  • American Academy of Professional Coders (AAPC) ICD-10 Training

Frequently Asked Questions

Can these codes be used for patients who are not newborns?

No, these codes are specifically for conditions involving the integument and temperature regulation of newborns.