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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.8

P02.8

Billable

Newborn affected by other abnormalities of membranes

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

Code Description

ICD-10 P02.8 is a billable code used to indicate a diagnosis of newborn affected by other abnormalities of membranes.

Key Diagnostic Point:

P02.8 refers to newborns affected by various abnormalities of the membranes, particularly those related to complications of the placenta, umbilical cord, and fetal membranes. Conditions such as placenta previa, where the placenta covers the cervix, can lead to significant complications during delivery, potentially affecting the newborn's health. Cord prolapse, where the umbilical cord slips ahead of the presenting part of the fetus, can compromise fetal oxygenation and lead to emergency interventions. Chorioamnionitis, an infection of the fetal membranes, can result in preterm birth and neonatal sepsis, impacting the newborn's immediate health and long-term outcomes. 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 membrane abnormalities.
  • Need for detailed documentation of maternal and fetal history.
  • Differentiation between similar conditions (e.g., chorioamnionitis vs. normal labor).
  • Potential for multiple coexisting conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of maternal conditions.
  • Failure to specify the type of membrane abnormality.
  • Misclassification of the severity of conditions.
  • Lack of clarity on the timing of complications.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including Apgar scores, vital signs, and any interventions performed.

Common Clinical Scenarios

Newborns presenting with respiratory distress due to cord prolapse or sepsis from chorioamnionitis.

Billing Considerations

Ensure accurate capture of all relevant maternal and neonatal history to support coding.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations, including developmental assessments and follow-up care plans.

Common Clinical Scenarios

Pediatric follow-up for newborns with complications from membrane abnormalities, such as developmental delays or chronic lung disease.

Billing Considerations

Consider long-term implications of perinatal conditions on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P02.8 When
  • Follow official ICD
  • 10 guidelines for perinatal coding, ensuring that all relevant maternal and neonatal conditions are documented
  • Specific criteria for complications of membranes must be met for accurate coding

Exclusion Criteria

Do NOT use P02.8 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

Clinical Scenario

Used in conjunction with P02.8 for newborns requiring additional monitoring due to membrane complications.

Documentation Requirements

Document the newborn's condition, interventions, and any complications observed.

Specialty Considerations

Neonatologists should ensure comprehensive documentation of all assessments.

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 accuracy of data collection and reimbursement processes for neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the accuracy of data collection and reimbursement processes for neonatal care.

Reimbursement & Billing Impact

reimbursement processes for neonatal care.

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 common complications associated with P02.8?

Common complications include respiratory distress due to cord prolapse, infection from chorioamnionitis, and potential long-term developmental issues stemming from preterm birth.