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v1.0.0
ICD-10 Guide
ICD-10 CodesP01.8

P01.8

Billable

Newborn affected by other maternal complications of pregnancy

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

Code Description

ICD-10 P01.8 is a billable code used to indicate a diagnosis of newborn affected by other maternal complications of pregnancy.

Key Diagnostic Point:

The code P01.8 is used to classify newborns who are affected by various maternal complications during pregnancy that do not fall under more specific categories. This includes conditions such as incompetent cervix, which can lead to premature birth, and premature rupture of membranes (PROM), which increases the risk of infection and other complications for the newborn. Additionally, multiple pregnancies can complicate delivery and increase the likelihood of preterm birth, low birth weight, and other neonatal issues. Newborns affected by these complications may require specialized care in the neonatal intensive care unit (NICU) to address respiratory distress, feeding difficulties, and monitoring for infections. Accurate coding is essential for appropriate management and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in maternal complications leading to different neonatal outcomes
  • Need for detailed documentation of maternal history and complications
  • Differentiation between similar codes for specific complications
  • Potential for co-morbidities that complicate coding

Audit Risk Factors

  • Inadequate documentation of maternal complications
  • Failure to link maternal conditions to neonatal outcomes
  • Misclassification of the type of maternal complication
  • Inconsistent coding practices among different healthcare providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include detailed maternal history, specific complications during pregnancy, and any interventions required for the newborn.

Common Clinical Scenarios

Common scenarios include management of preterm infants due to incompetent cervix or PROM, and monitoring of multiple births for complications such as twin-to-twin transfusion syndrome.

Billing Considerations

Coders should ensure that all maternal complications are documented and linked to the newborn's condition to avoid misclassification.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect ongoing assessments of the newborn's health status and any developmental concerns stemming from maternal complications.

Common Clinical Scenarios

Pediatric scenarios may include follow-up care for infants born prematurely or with low birth weight due to maternal complications.

Billing Considerations

Pediatric coders must be aware of the long-term implications of maternal complications on child health and development.

Coding Guidelines

Inclusion Criteria

Use P01.8 When
  • According to ICD
  • 10 coding guidelines, P01
  • 8 should be used when the newborn is affected by maternal complications that do not have a more specific code
  • Documentation must clearly outline the maternal condition and its impact on the newborn

Exclusion Criteria

Do NOT use P01.8 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 infant

Clinical Scenario

Used when a newborn affected by maternal complications requires initial evaluation in the NICU.

Documentation Requirements

Documentation must include maternal history and any complications affecting the newborn.

Specialty Considerations

Neonatologists should ensure comprehensive assessments are documented to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of maternal complications and their effects on newborns, improving the accuracy of data collection and resource allocation in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal complications and their effects on newborns, improving the accuracy of data collection and resource allocation in neonatal care.

Reimbursement & Billing Impact

reimbursement and compliance.

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 maternal complications are included under P01.8?

P01.8 includes complications such as incompetent cervix, premature rupture of membranes, and issues arising from multiple pregnancies that affect the newborn's health.