Transitory endocrine and metabolic disorders specific to newborn
ICD-10 Codes (33)
P71P71.0P71.1P71.2P71.3P71.4P71.8P71.9P72P72.0P72.1P72.2P72.8P72.9P74P74.0P74.1P74.2P74.21P74.22P74.3P74.31P74.32P74.4P74.41P74.42P74.421P74.422P74.49P74.5P74.6P74.8P74.9Updates & 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 P70-P74 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 P70-P74 range in ICD-10 covers transitory endocrine and metabolic disorders specific to newborns. These codes are used to document conditions like neonatal diabetes mellitus, neonatal hypoglycemia, and disorders of calcium metabolism. They are crucial for accurate reporting of newborn health status, facilitating appropriate treatment and follow-up care.
Key Usage Points:
- •Always code to the highest level of specificity within the P70-P74 range.
- •Use additional codes to identify any associated conditions or complications.
- •For conditions not specifically listed in P70-P74, consider codes in other ranges.
- •Remember to use codes from P00-P04 for newborns affected by maternal factors.
- •Always verify codes in the ICD-10-CM Tabular List and Alphabetic Index.
Coding Guidelines
When to Use:
- ✓When a newborn is diagnosed with transient neonatal diabetes mellitus.
- ✓When a newborn presents with neonatal hypoglycemia.
- ✓When a newborn has a disorder of calcium metabolism.
- ✓When a newborn has a transient disorder of thyroid function.
- ✓When a newborn has a disorder of fatty-acid metabolism.
When NOT to Use:
- ✗When the condition is not specific to the newborn period.
- ✗When the condition is due to maternal factors (use P00-P04).
- ✗When the condition is a congenital malformation (use Q00-Q99).
- ✗When the condition is a certain condition originating in the perinatal period (use P00-P96).
- ✗When the condition is an endocrine disorder not specific to newborns (use E00-E89).
Code Exclusions
Always verify exclusions in the ICD-10-CM Tabular List and Alphabetic Index.
Documentation Requirements
Accurate documentation for P70-P74 codes requires detailed clinical information about the newborn's condition, including diagnosis, severity, and any associated complications. Supporting evidence, such as lab results and clinical notes, is also essential.
Clinical Information:
- •Specific diagnosis
- •Severity of the condition
- •Associated complications
- •Treatment provided
- •Outcome of treatment
Supporting Evidence:
- •Lab results
- •Clinical notes
- •Radiology reports
- •Physician's orders
Good Documentation Example:
Newborn diagnosed with transient neonatal diabetes mellitus, moderate severity, treated with insulin. Lab results confirm diagnosis.
Poor Documentation Example:
Newborn has high blood sugar.
Common Documentation Errors:
- ⚠Not coding to the highest level of specificity
- ⚠Not documenting associated complications
- ⚠Not providing supporting evidence
- ⚠Not verifying codes in the ICD-10-CM Tabular List and Alphabetic Index
Range Statistics
Coding Complexity
Coding for P70-P74 is of medium complexity due to the need for high specificity, potential for associated conditions and complications, and the need for additional codes and verification of exclusions.
Key Factors:
- ▸Need for high specificity
- ▸Multiple potential associated conditions
- ▸Potential for complications
- ▸Need for additional codes
- ▸Need to verify exclusions
Specialty Focus
The P70-P74 range is primarily used by pediatricians, neonatologists, and endocrinologists. It's also relevant for hospital coders, especially those in neonatal intensive care units (NICUs).
Primary Specialties:
Clinical Scenarios:
- • Newborn with transient neonatal diabetes mellitus
- • Newborn with neonatal hypoglycemia
- • Newborn with a disorder of calcium metabolism
- • Newborn with a transient disorder of thyroid function
- • Newborn with a disorder of fatty-acid metabolism
Resources & References
Several resources are available for coding P70-P74, including the ICD-10-CM Official Guidelines, the American Academy of Pediatrics (AAP), and the American Association of Clinical Endocrinologists (AACE).
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- AAP Guidelines
- AACE Guidelines
Clinical References:
- AAP Clinical Practice Guidelines
- AACE Clinical Practice Guidelines
Educational Materials:
- AAP Coding Webinars
- AACE Coding Resources
Frequently Asked Questions
Can I use P70-P74 codes for conditions not specific to newborns?
No, P70-P74 codes are specifically for transitory endocrine and metabolic disorders in newborns. For conditions not specific to newborns, consider codes in other ranges.