Certain conditions originating in the perinatal period
This chapter covers ICD-10-CM codes in the range P00-P96 for certain conditions originating in the perinatal period. Includes conditions originating in the perinatal period such as birth trauma, respiratory conditions, and infections in newborns.
Chapter Overview
Key Statistics
- •Contains 20 categories and 57 total codes
- •Includes 36 billable codes and 21 non-billable codes
- •Chapter range: P00-P96
Clinical Relevance
Used for newborn and neonatal conditions including birth trauma, respiratory distress, and congenital infections. Critical for NICU care.
Documentation Requirements
Requires birth weight, gestational age, and maternal condition correlation. Severity and intervention details needed.
Special Considerations
Birth weight and gestational age categories affect coding. Maternal conditions influencing newborn require additional codes.
Categories in this Chapter
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
Respiratory and cardiovascular disorders specific to the perinatal period
Digestive system disorders of newborn
Disorders of newborn related to length of gestation and fetal growth
Birth trauma
Respiratory and cardiovascular disorders specific to the perinatal period
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
Digestive system disorders of newborn
Disorders of newborn related to length of gestation and fetal growth
Birth trauma
Conditions involving the integument and temperature regulation of newborn
Conditions involving the integument and temperature regulation of newborn
Infections specific to the perinatal period
Other disorders originating in the perinatal period
Infections specific to the perinatal period
Other disorders originating in the perinatal period
Hemorrhagic and hematological disorders of newborn
Hemorrhagic and hematological disorders of newborn
Transitory endocrine and metabolic disorders specific to newborn
Transitory endocrine and metabolic disorders specific to newborn
Chapter-Specific Coding Guidelines
General Guidelines for Certain conditions originating in the perinatal period:
- Follow standard ICD-10-CM coding principles for certain conditions originating in the perinatal period
- Document the most specific diagnosis supported by the medical record
- Use additional codes for manifestations, complications, or associated conditions
- Ensure proper sequencing based on the reason for the encounter
Documentation Requirements:
- •Specific condition or disease process
- •Acute versus chronic status when applicable
- •Severity or stage when documented
- •Associated symptoms or complications
- •Treatment response and current status
Sequencing Rules:
- Principal diagnosis should reflect the main reason for the encounter
- Sequence complications according to treatment focus
- Use appropriate combination codes when available
- Follow chapter-specific sequencing guidelines
When to Use:
- ✓For conditions classified in the P00-P96 range
- ✓When the condition is the primary focus of care
- ✓During active treatment or monitoring
- ✓For documented complications of the condition
When NOT to Use:
- ✗For personal history without current manifestations
- ✗During screening encounters without findings
- ✗For conditions better classified elsewhere
- ✗When condition is ruled out or suspected only
Special Considerations:
- ⚠Review chapter-specific coding guidelines
- ⚠Consider combination codes before multiple codes
- ⚠Document functional impact when relevant
- ⚠Use external cause codes when applicable
Version Updates
The 2025 ICD-10-CM updates include refinements to certain conditions originating in the perinatal period coding for improved specificity and clinical relevance.
Recent Updates:
Enhanced Certain conditions originating in the perinatal period Specificity
Updated codes within P00-P96 for improved clinical documentation
Impact: Better alignment with clinical practice and quality reporting
Implementation Guidance:
- •Review all certain conditions originating in the perinatal period coding practices
- •Update documentation templates as needed
- •Train coding staff on any new requirements
- •Implement quality checks for accuracy
Upcoming Changes:
- →Potential enhancements to certain conditions originating in the perinatal period codes in future updates
- →Continued alignment with clinical practice evolution
Related Resources
Key resources for certain conditions originating in the perinatal period coding and clinical documentation.
Official Documentation:
Related Chapters:
Tools and References:
Frequently Asked Questions
What are the key considerations when coding certain conditions originating in the perinatal period?
Focus on specific diagnosis documentation, proper sequencing, and use of additional codes for complications or manifestations related to certain conditions originating in the perinatal period.
How do I determine the most appropriate code within this chapter?
Review the medical documentation for the most specific diagnosis, check for combination codes, and follow the ICD-10-CM guidelines for this chapter.
When should I use additional codes?
Use additional codes for manifestations, complications, external causes, or other conditions that affect patient care during the encounter.