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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.29

P02.29

Billable

Newborn affected by other morphological and functional abnormalities of placenta

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

Code Description

ICD-10 P02.29 is a billable code used to indicate a diagnosis of newborn affected by other morphological and functional abnormalities of placenta.

Key Diagnostic Point:

Newborns affected by complications related to the placenta, umbilical cord, and membranes can experience a range of health issues. Conditions such as placenta previa, where the placenta partially or completely covers the cervix, can lead to significant complications during delivery, potentially resulting in preterm birth or fetal distress. Cord prolapse, where the umbilical cord slips ahead of the presenting part of the fetus, can compromise fetal oxygenation and necessitate immediate intervention. Chorioamnionitis, an infection of the fetal membranes, can lead to sepsis in the newborn and is associated with adverse outcomes such as respiratory distress and neurological impairment. Accurate coding of these conditions is crucial for appropriate management and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of placental abnormalities
  • Need for detailed documentation of maternal and neonatal history
  • Differentiation between similar codes related to placental issues
  • Potential for multiple co-existing conditions affecting the newborn

Audit Risk Factors

  • Inadequate documentation of maternal history
  • Failure to specify the type of placental abnormality
  • Misclassification of the severity of the condition
  • Omission of associated neonatal complications

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including Apgar scores, respiratory status, and any interventions performed.

Common Clinical Scenarios

Newborns presenting with respiratory distress due to chorioamnionitis or requiring resuscitation due to cord prolapse.

Billing Considerations

Ensure that all maternal complications are documented to support the coding of neonatal conditions.

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Pediatric follow-up for newborns with a history of placental complications, such as developmental delays or respiratory issues.

Billing Considerations

Consider the long-term implications of placental abnormalities on pediatric health outcomes.

Coding Guidelines

Inclusion Criteria

Use P02.29 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring that all relevant clinical information is documented and that the code reflects the specific complications affecting the newborn

Exclusion Criteria

Do NOT use P02.29 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 in conjunction with P02.29 when a newborn requires evaluation for complications related to placental abnormalities.

Documentation Requirements

Document the newborn's clinical status, any interventions, and the rationale for the evaluation.

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 placental abnormalities and their effects on newborn health.

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 placental abnormalities and their effects on newborn health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of placental abnormalities and their effects on newborn health.

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 factors to consider when coding P02.29?

Key factors include understanding the specific placental complications affecting the newborn, ensuring comprehensive documentation of maternal history, and accurately linking any associated neonatal conditions.