Other disorders originating in the perinatal period
ICD-10 Codes (0)
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Updates & 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 P50-P146 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 category P50-P96 encompasses a wide range of disorders originating in the perinatal period. These codes are used to document conditions that have their origin in the perinatal period even though death or morbidity occurs later. The perinatal period extends from 20 weeks of gestation to 28 days after birth. This range includes conditions like birth trauma, infections specific to the perinatal period, disorders related to length of gestation and fetal growth, and other conditions originating in the perinatal period.
Key Usage Points:
- •Always code to the highest level of specificity within the P50-P96 range.
- •Use additional code(s) from other chapters to identify any associated conditions.
- •Codes from this range can be used throughout the life of the patient if the condition originated in the perinatal period.
- •Remember to use a code from Z38, Liveborn infants according to place of birth and type of delivery, as the principal diagnosis.
- •Certain codes in this range require a 7th character for episode of care.
Coding Guidelines
When to Use:
- ✓When a condition originates in the perinatal period, even if it manifests or is diagnosed later in life.
- ✓When a condition is related to or is a consequence of a disorder originating in the perinatal period.
- ✓When documenting birth trauma, infections specific to the perinatal period, or disorders related to length of gestation and fetal growth.
- ✓When the patient is a newborn affected by maternal factors or by complications of pregnancy, labor, or delivery.
When NOT to Use:
- ✗When the condition did not originate in the perinatal period.
- ✗When the condition is not related to or is not a consequence of a disorder originating in the perinatal period.
- ✗When the patient is not a newborn or the condition is not related to birth or the perinatal period.
- ✗When the condition is better described by a code outside of the P50-P96 range.
Code Exclusions
Always verify exclusions in the Tabular List of the ICD-10-CM.
Documentation Requirements
Documentation for codes within the P50-P96 range should be comprehensive, including a clear statement that the condition originated in the perinatal period. The specific type of disorder, its cause, and any related conditions or complications should also be documented.
Clinical Information:
- •Specific type of disorder
- •Cause of the disorder
- •Any related conditions or complications
- •Confirmation that the condition originated in the perinatal period
- •Current clinical status of the condition
Supporting Evidence:
- •Laboratory test results
- •Imaging studies
- •Pathology reports
- •Clinical notes from the provider
Good Documentation Example:
Newborn with birth trauma resulting in a skull fracture, confirmed by imaging studies. The fracture originated during a difficult delivery.
Poor Documentation Example:
Skull fracture.
Common Documentation Errors:
- ⚠Not documenting that the condition originated in the perinatal period
- ⚠Not specifying the type of disorder
- ⚠Not including related conditions or complications
- ⚠Not providing supporting evidence
Range Statistics
Coding Complexity
Coding within the P50-P96 range is of medium complexity due to the need to determine whether the condition originated in the perinatal period, specify the type of disorder, identify any related conditions or complications, use a 7th character for certain codes, and use additional codes for associated conditions.
Key Factors:
- ▸Need to determine whether the condition originated in the perinatal period
- ▸Need to specify the type of disorder
- ▸Need to identify any related conditions or complications
- ▸Need to use a 7th character for certain codes
- ▸Need to use additional codes for associated conditions
Specialty Focus
Codes within the P50-P96 range are primarily used by pediatricians, neonatologists, and other providers who care for newborns and infants. They are also used by specialists who treat conditions that originated in the perinatal period.
Primary Specialties:
Clinical Scenarios:
- • Newborn with birth trauma resulting in a skull fracture
- • Infant with neonatal jaundice due to preterm delivery
- • Child with cerebral palsy due to birth asphyxia
- • Infant with intrauterine growth restriction due to maternal hypertension
- • Newborn with neonatal sepsis due to group B streptococcus
Resources & References
Resources for coding within the P50-P96 range include the ICD-10-CM Official Guidelines for Coding and Reporting, the American Academy of Pediatrics' Coding Clinic, and various medical coding textbooks and online resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Academy of Pediatrics' Coding Clinic
- Medical Coding Textbooks
- Online Medical Coding Resources
Clinical References:
- Pediatric Textbooks
- Neonatology Textbooks
- Obstetrics and Gynecology Textbooks
Educational Materials:
- ICD-10-CM Coding Workbook
- Online ICD-10-CM Coding Courses
- ICD-10-CM Coding Webinars
Frequently Asked Questions
Can a code from the P50-P96 range be used for a condition that manifests later in life?
Yes, a code from the P50-P96 range can be used for a condition that manifests or is diagnosed later in life, as long as the condition originated in the perinatal period.
Can a code from the P50-P96 range be used as the principal diagnosis?
No, a code from the P50-P96 range should not be used as the principal diagnosis. The principal diagnosis should be a code from Z38, Liveborn infants according to place of birth and type of delivery.