P80-P84
Medium Complexity

Transitory endocrine and metabolic disorders specific to newborn

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

ICD-10 Codes (19)

17 billable
0 category headers
P81
Other disturbances of temperature regulation of newborn
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P81.0
Billable
Environmental hyperthermia of newborn
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P81.8
Billable
Other specified disturbances of temperature regulation of newborn
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P81.9
Billable
Disturbance of temperature regulation of newborn, unspecified
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P83
Other conditions of integument specific to newborn
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P83.0
Billable
Sclerema neonatorum
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P83.1
Billable
Neonatal erythema toxicum
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P83.2
Billable
Hydrops fetalis not due to hemolytic disease
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P83.3
Billable
Other and unspecified edema specific to newborn
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P83.30
Billable
Unspecified edema specific to newborn
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P83.39
Billable
Other edema specific to newborn
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P83.4
Billable
Breast engorgement of newborn
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P83.5
Billable
Congenital hydrocele
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P83.6
Billable
Umbilical polyp of newborn
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P83.8
Billable
Other specified conditions of integument specific to newborn
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P83.81
Billable
Umbilical granuloma
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P83.88
Billable
Other specified conditions of integument specific to newborn
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P83.9
Billable
Condition of the integument specific to newborn, unspecified
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P84
Billable
Other problems with newborn
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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 P80-P84 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 code range P80-P84 pertains to transitory endocrine and metabolic disorders specific to newborns. These codes cover conditions such as neonatal hypoglycemia, neonatal goiter, and disorders related to short gestation and low birth weight. The codes are used to document conditions that are diagnosed within the neonatal period, typically within the first 28 days of life.

Key Usage Points:

  • These codes are specific to newborns and should not be used for older infants or children.
  • The codes include both congenital and acquired conditions.
  • The codes should be used in conjunction with other codes to fully describe the patient's condition.
  • Documentation should specify the exact nature of the condition, including any complications.
  • The codes should be used on the newborn's medical record, not the mother's.

Coding Guidelines

When to Use:

  • When a newborn is diagnosed with a transitory endocrine or metabolic disorder.
  • When a newborn has a condition related to short gestation and low birth weight.
  • When a newborn has a disorder related to long gestation and high birth weight.
  • When a newborn has a disorder of carbohydrate metabolism.

When NOT to Use:

  • When the patient is older than 28 days.
  • When the condition is not related to the endocrine or metabolic system.
  • When the condition is chronic and not transitory.
  • When the condition is not diagnosed within the neonatal period.

Code Exclusions

Always verify exclusions in the ICD-10 coding manual or with a coding expert.

Documentation Requirements

Documentation for codes in the P80-P84 range should be detailed and specific. It should clearly state the diagnosis, any related conditions or complications, and the patient's response to treatment.

Clinical Information:

  • Specific diagnosis
  • Related conditions or complications
  • Response to treatment
  • Duration of condition
  • Any relevant family history

Supporting Evidence:

  • Lab results
  • Imaging results
  • Notes from physical examination
  • Consultation notes
Good Documentation Example:

Newborn diagnosed with neonatal hypoglycemia, responding well to treatment. Lab results confirm diagnosis.

Poor Documentation Example:

Newborn has low blood sugar.

Common Documentation Errors:

  • Not specifying the exact diagnosis
  • Not including related conditions or complications
  • Not documenting the patient's response to treatment
  • Not including supporting evidence

Range Statistics

4
Total Codes
17
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:16

Coding Complexity

Medium
Complexity Rating

Coding for the P80-P84 range requires a good understanding of neonatal conditions and the ability to accurately interpret medical documentation. The codes cover a wide range of conditions, which can add to the complexity. However, with proper training and experience, these codes can be used effectively.

Key Factors:
  • Understanding the specific conditions covered by these codes
  • Knowing when to use these codes and when to use other codes
  • Being able to accurately interpret medical documentation
  • Staying up-to-date with changes to the codes and guidelines

Specialty Focus

These codes are most commonly used by neonatologists and pediatricians. They may also be used by endocrinologists and other specialists who treat newborns.

Primary Specialties:
Neonatology
60%
Pediatrics
30%
Endocrinology
10%
Clinical Scenarios:
  • Newborn diagnosed with neonatal hypoglycemia
  • Newborn with disorder related to short gestation and low birth weight
  • Newborn with disorder related to long gestation and high birth weight
  • Newborn with disorder of carbohydrate metabolism

Resources & References

There are many resources available to help with coding in the P80-P84 range. These include the ICD-10 coding manual, online coding tools, and professional coding organizations.

Official Guidelines:

  • ICD-10 coding manual
  • American Health Information Management Association (AHIMA)
  • American Academy of Professional Coders (AAPC)
  • Centers for Disease Control and Prevention (CDC)

Clinical References:

  • American Academy of Pediatrics (AAP)
  • American Medical Association (AMA)
  • National Institute of Child Health and Human Development (NICHD)

Educational Materials:

  • ICD-10 coding training courses
  • Online coding tools
  • Coding webinars and workshops

Frequently Asked Questions

Can these codes be used for conditions diagnosed after the neonatal period?

No, these codes are specific to conditions diagnosed within the neonatal period, typically within the first 28 days of life.