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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.1

P02.1

Billable

Newborn affected by other forms of placental separation and hemorrhage

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

Code Description

ICD-10 P02.1 is a billable code used to indicate a diagnosis of newborn affected by other forms of placental separation and hemorrhage.

Key Diagnostic Point:

P02.1 refers to newborns who are affected by complications arising from placental separation and hemorrhage, which can occur due to various conditions such as placenta previa, cord prolapse, and chorioamnionitis. These complications can lead to significant neonatal morbidity and mortality. Placenta previa occurs when the placenta is abnormally positioned over the cervix, which can cause bleeding during pregnancy and delivery. Cord prolapse happens when the umbilical cord slips ahead of the presenting part of the fetus, leading to potential cord compression and fetal distress. Chorioamnionitis is an infection of the amniotic fluid and membranes, often associated with prolonged rupture of membranes, which can lead to inflammation and increased risk of sepsis in the newborn. The clinical implications of these conditions necessitate careful monitoring and management during labor and delivery, as well as immediate postnatal care to address any complications that may arise in the newborn.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to placental separation.
  • Need for detailed documentation of maternal and neonatal conditions.
  • Potential for multiple diagnoses related to perinatal complications.
  • Variability in clinical presentation and outcomes based on gestational age.

Audit Risk Factors

  • Inadequate documentation of maternal conditions leading to complications.
  • Failure to capture all relevant diagnoses related to placental issues.
  • Misinterpretation of clinical scenarios leading to incorrect coding.
  • Lack of clarity in the relationship between maternal and neonatal conditions.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include detailed assessments of the newborn's condition, including any signs of distress, infection, or complications related to placental issues.

Common Clinical Scenarios

Common scenarios include a newborn presenting with respiratory distress due to cord compression or signs of sepsis following chorioamnionitis.

Billing Considerations

Accurate coding requires understanding the timing of complications and their direct impact on the newborn's health.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect ongoing assessments of the newborn's health, including developmental milestones and any complications arising from perinatal conditions.

Common Clinical Scenarios

Pediatric scenarios may involve follow-up care for a newborn with a history of placental complications, monitoring for developmental delays or health issues.

Billing Considerations

Consideration must be given to the long-term effects of perinatal complications on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P02.1 When
  • Official coding guidelines for P02
  • 1 emphasize the importance of linking the diagnosis to the clinical documentation that supports the presence of placental complications and their effects on the newborn

Exclusion Criteria

Do NOT use P02.1 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 placental complications requires initial evaluation.

Documentation Requirements

Documentation must include a thorough assessment of the newborn's condition and any interventions performed.

Specialty Considerations

Neonatologists should ensure that all relevant complications are documented to support the coding.

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 the ability to capture the nuances of complications like those represented by P02.1. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of complications like those represented by P02.1. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and quality reporting.

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 key documentation requirements for coding P02.1?

Key documentation requirements include a detailed account of the maternal conditions leading to placental complications, the clinical presentation of the newborn, and any interventions performed during delivery and postnatal care.