ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesP03.4

P03.4

Billable

Newborn affected by Cesarean delivery

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

Code Description

ICD-10 P03.4 is a billable code used to indicate a diagnosis of newborn affected by cesarean delivery.

Key Diagnostic Point:

Newborns affected by Cesarean delivery may experience various complications that arise from the surgical nature of the delivery. These complications can include respiratory distress, transient tachypnea of the newborn (TTN), and potential issues related to maternal medications administered during the procedure. Cesarean deliveries can also lead to a higher incidence of neonatal hypoglycemia and feeding difficulties due to the abrupt transition from intrauterine to extrauterine life. Additionally, newborns delivered via Cesarean may have a higher risk of developing infections, particularly if the delivery was unplanned or if there were complications during the procedure. It is essential for healthcare providers to monitor these infants closely for any signs of distress or complications, ensuring timely interventions to support their health and development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in maternal health conditions affecting delivery
  • Potential for multiple complications arising from Cesarean delivery
  • Need for detailed documentation of delivery circumstances
  • Differentiation from other delivery methods (e.g., breech, forceps)

Audit Risk Factors

  • Inadequate documentation of maternal health status
  • Failure to specify complications arising from Cesarean delivery
  • Misclassification of delivery method
  • Omission of relevant neonatal assessments post-delivery

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of neonatal assessments, including Apgar scores, respiratory status, and feeding tolerance.

Common Clinical Scenarios

Newborns requiring NICU admission for respiratory support or monitoring due to Cesarean delivery complications.

Billing Considerations

Attention to maternal history and delivery details is crucial for accurate coding.

Pediatrics

Documentation Requirements

Comprehensive documentation of follow-up care, including growth and development assessments.

Common Clinical Scenarios

Pediatric visits for newborns with feeding difficulties or hypoglycemia post-Cesarean delivery.

Billing Considerations

Consideration of long-term outcomes related to Cesarean delivery in pediatric assessments.

Coding Guidelines

Inclusion Criteria

Use P03.4 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that all relevant clinical information is documented
  • Newborn
  • specific criteria include the need for detailed descriptions of complications and the circumstances surrounding the Cesarean delivery

Exclusion Criteria

Do NOT use P03.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care for newborns

Clinical Scenario

Used for newborns requiring evaluation and management following Cesarean delivery.

Documentation Requirements

Detailed documentation of the newborn's condition and any interventions performed.

Specialty Considerations

Neonatologists should ensure comprehensive assessments are documented.

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, enhancing the ability to capture the nuances of complications arising from Cesarean deliveries. 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, enhancing the ability to capture the nuances of complications arising from Cesarean deliveries. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, enhancing the ability to capture the nuances of complications arising from Cesarean deliveries. This specificity aids in better tracking of outcomes and resource allocation.

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 newborns affected by Cesarean delivery?

Common complications include respiratory distress, transient tachypnea, hypoglycemia, and feeding difficulties. Close monitoring is essential to address these issues promptly.