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v1.0.0
ICD-10 Guide
ICD-10 CodesP03.0

P03.0

Billable

Newborn affected by breech delivery and extraction

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

Code Description

ICD-10 P03.0 is a billable code used to indicate a diagnosis of newborn affected by breech delivery and extraction.

Key Diagnostic Point:

P03.0 refers to newborns who are affected by complications arising from breech delivery and extraction methods. Breech delivery occurs when a fetus is positioned to deliver buttocks or feet first, which can lead to various complications during labor and delivery. These complications may include trauma to the newborn, such as fractures or nerve injuries, as well as respiratory distress due to potential asphyxia during delivery. Extraction methods, such as forceps or vacuum-assisted delivery, may be employed to assist in the delivery of a breech presentation, but they can also introduce risks of injury to both the mother and the newborn. It is crucial for healthcare providers to monitor the newborn closely for any signs of distress or complications following a breech delivery, and appropriate documentation is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of delivery methods and complications
  • Differentiation between breech delivery and other delivery complications
  • Need for detailed clinical notes to support coding
  • Potential for multiple codes related to delivery complications

Audit Risk Factors

  • Inadequate documentation of delivery method and complications
  • Failure to capture all relevant newborn conditions
  • Misclassification of breech delivery as a different delivery complication
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include details of the delivery method, any complications observed, and the newborn's immediate post-delivery condition.

Common Clinical Scenarios

Common scenarios include monitoring for respiratory distress, assessing for physical injuries, and managing any neurological concerns following a breech delivery.

Billing Considerations

Neonatologists should ensure that all relevant clinical findings are documented to support the coding of P03.0, including any interventions required.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect the newborn's health status, any complications from delivery, and ongoing care needs.

Common Clinical Scenarios

Pediatricians may encounter cases where the newborn requires follow-up for developmental assessments or management of injuries sustained during delivery.

Billing Considerations

Pediatricians should be aware of the long-term implications of breech delivery on the child's health and development.

Coding Guidelines

Inclusion Criteria

Use P03.0 When
  • According to ICD
  • 10 coding guidelines, P03
  • 0 should be used when the newborn is specifically affected by breech delivery and extraction
  • Coders must ensure that the documentation supports the diagnosis and reflects any complications that may have arisen

Exclusion Criteria

Do NOT use P03.0 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 requiring evaluation after breech delivery.

Documentation Requirements

Documentation must include the newborn's condition and any complications observed.

Specialty Considerations

Neonatologists should document any specific assessments related to breech delivery.

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, including breech delivery. This specificity aids in better tracking of outcomes and complications associated with breech presentations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including breech delivery. This specificity aids in better tracking of outcomes and complications associated with breech presentations.

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 documentation is required for coding P03.0?

Documentation must include details of the breech delivery, any complications observed during delivery, and the newborn's immediate post-delivery condition. This includes physical assessments and any interventions performed.