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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.20

P02.20

Billable

Newborn affected by unspecified morphological and functional abnormalities of placenta

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

Code Description

ICD-10 P02.20 is a billable code used to indicate a diagnosis of newborn affected by unspecified morphological and functional abnormalities of placenta.

Key Diagnostic Point:

This code is used for newborns who are affected by complications arising from abnormalities of the placenta, umbilical cord, or membranes. These complications can include conditions such as placenta previa, where the placenta is abnormally positioned over the cervix, leading to potential bleeding and delivery complications. Cord prolapse, where the umbilical cord slips ahead of the presenting part of the fetus, can lead to cord compression and fetal distress. Chorioamnionitis, an infection of the fetal membranes, can result in significant morbidity for the newborn, including sepsis and respiratory distress. The unspecified nature of the abnormalities indicates that while the newborn is affected, the exact morphological or functional issue has not been clearly defined, necessitating careful monitoring and management in the neonatal period to address any arising complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of placental abnormalities
  • Need for detailed documentation to specify complications
  • Potential overlap with other neonatal conditions
  • Variability in treatment protocols based on specific abnormalities

Audit Risk Factors

  • Inadequate documentation of the specific placental abnormality
  • Failure to link complications to the correct diagnosis
  • Misclassification of the severity of the condition
  • Inconsistent use of terminology in clinical notes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the newborn's clinical status, including any interventions and outcomes related to placental complications.

Common Clinical Scenarios

Newborns presenting with respiratory distress due to chorioamnionitis or requiring NICU admission for monitoring after delivery complications.

Billing Considerations

Accurate coding requires understanding the implications of placental abnormalities on neonatal health and potential long-term outcomes.

Pediatrics

Documentation Requirements

Documentation should include any ongoing management of conditions stemming from perinatal complications, including developmental assessments.

Common Clinical Scenarios

Pediatric follow-up for newborns with a history of placental complications, monitoring for growth and developmental milestones.

Billing Considerations

Pediatricians should be aware of the potential long-term effects of perinatal complications on health and development.

Coding Guidelines

Inclusion Criteria

Use P02.20 When
  • Coders should refer to the official ICD
  • CM guidelines for perinatal coding, ensuring that all documentation supports the diagnosis and reflects the newborn's clinical status accurately

Exclusion Criteria

Do NOT use P02.20 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 newborns affected by placental complications requiring initial evaluation.

Documentation Requirements

Documentation must include the newborn's clinical status and any interventions performed.

Specialty Considerations

Neonatologists should ensure that the evaluation reflects the impact of placental abnormalities.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding perinatal conditions, improving the ability to track and manage complications associated with placental abnormalities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding perinatal conditions, improving the ability to track and manage complications associated with placental abnormalities.

Reimbursement & Billing Impact

reimbursement.

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 should I document to support the use of code P02.20?

Document any complications related to placental abnormalities, including clinical findings, interventions, and the newborn's response to treatment. Ensure that the documentation clearly reflects the impact of these complications on the newborn's health.