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v1.0.0
ICD-10 Guide
ICD-10 CodesP01.3

P01.3

Billable

Newborn affected by polyhydramnios

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P01.3 is a billable code used to indicate a diagnosis of newborn affected by polyhydramnios.

Key Diagnostic Point:

Polyhydramnios, characterized by an excessive accumulation of amniotic fluid, can significantly impact fetal development and delivery outcomes. Newborns affected by polyhydramnios may experience various complications due to maternal conditions such as incompetent cervix, premature rupture of membranes (PROM), and multiple pregnancies. Incompetent cervix can lead to preterm labor, while PROM increases the risk of infection and can complicate the delivery process. Multiple pregnancies often result in polyhydramnios due to the increased volume of amniotic fluid produced by multiple fetuses. These conditions can lead to premature birth, low birth weight, and respiratory distress syndrome in the newborn. Accurate coding of P01.3 is essential for tracking the incidence of these complications and ensuring appropriate neonatal care and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between causes of polyhydramnios
  • Identifying associated maternal conditions
  • Understanding the implications of multiple gestations
  • Documenting the timing and nature of delivery complications

Audit Risk Factors

  • Inadequate documentation of maternal complications
  • Failure to link maternal conditions to neonatal outcomes
  • Misclassification of the severity of polyhydramnios
  • Omission of relevant clinical details in the newborn's chart

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of the newborn's condition, including gestational age, birth weight, and any immediate complications.

Common Clinical Scenarios

Newborns in the NICU requiring respiratory support due to complications from polyhydramnios.

Billing Considerations

Ensure accurate documentation of maternal history and delivery details to support coding.

Pediatrics

Documentation Requirements

Comprehensive pediatric assessments that include developmental milestones and follow-up care plans.

Common Clinical Scenarios

Pediatric visits for monitoring growth and development in infants affected by polyhydramnios.

Billing Considerations

Consider the long-term implications of polyhydramnios on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P01.3 When
  • Follow ICD
  • 10 guidelines for coding perinatal conditions, ensuring that all relevant maternal and neonatal factors are documented
  • Use additional codes to specify complications and associated conditions

Exclusion Criteria

Do NOT use P01.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, per day, for evaluation and management of a normal newborn

Clinical Scenario

Used for initial assessment of a newborn affected by polyhydramnios.

Documentation Requirements

Document the newborn's condition, gestational age, and any complications.

Specialty Considerations

Neonatologists should ensure comprehensive evaluations are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving data accuracy and facilitating better tracking of maternal and neonatal health outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving data accuracy and facilitating better tracking of maternal and neonatal health outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving data accuracy and facilitating better tracking of maternal and neonatal health outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the implications of polyhydramnios on newborn health?

Polyhydramnios can lead to various complications such as preterm birth, respiratory distress, and congenital anomalies. It is crucial to monitor affected newborns closely for these potential issues.