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v1.0.0
ICD-10 Guide
ICD-10 CodesP03.6

P03.6

Billable

Newborn affected by abnormal uterine contractions

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

Code Description

ICD-10 P03.6 is a billable code used to indicate a diagnosis of newborn affected by abnormal uterine contractions.

Key Diagnostic Point:

Newborns affected by abnormal uterine contractions may experience various complications during labor and delivery, which can impact their immediate health and long-term outcomes. Abnormal uterine contractions can manifest as either hypertonic or hypotonic contractions, leading to challenges such as prolonged labor, fetal distress, or the need for operative delivery methods like cesarean section or forceps assistance. These complications can result in conditions such as birth asphyxia, trauma, or other neonatal morbidities. Newborns delivered in a breech position may also be affected by abnormal uterine contractions, as the delivery process can be more complicated and may require additional interventions. Proper documentation of the delivery method, maternal labor characteristics, and any complications encountered is crucial for accurate coding and to ensure appropriate care is provided to the newborn.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of labor and delivery complications
  • Differentiation between types of abnormal contractions
  • Need for precise coding based on delivery method
  • Potential for multiple co-existing conditions

Audit Risk Factors

  • Inadequate documentation of labor complications
  • Failure to specify delivery method
  • Misclassification of contraction types
  • Inconsistent reporting of neonatal outcomes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Neonatal documentation must include details of the delivery method, any complications during labor, and immediate neonatal assessments.

Common Clinical Scenarios

Common scenarios include NICU admissions for respiratory distress following a complicated delivery or monitoring for signs of birth trauma.

Billing Considerations

Neonatologists should be aware of the potential for long-term effects of abnormal uterine contractions on newborn health.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect any ongoing issues stemming from the delivery complications, including developmental assessments.

Common Clinical Scenarios

Pediatric scenarios may involve follow-up care for infants who experienced birth asphyxia or other complications.

Billing Considerations

Pediatricians should consider the implications of delivery complications on future health outcomes.

Coding Guidelines

Inclusion Criteria

Use P03.6 When
  • According to official coding guidelines, P03
  • 6 should be used when the newborn is directly affected by complications arising from abnormal uterine contractions during labor
  • Coders must ensure that documentation supports the use of this code, including details of the delivery method and any immediate neonatal interventions

Exclusion Criteria

Do NOT use P03.6 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 assessment following delivery complications.

Documentation Requirements

Documentation must include details of delivery complications and newborn assessments.

Specialty Considerations

Neonatologists should ensure thorough documentation of any interventions required.

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 those related to abnormal uterine contractions. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including those related to abnormal uterine contractions. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including those related to abnormal uterine contractions. This specificity aids in better tracking of outcomes and resource allocation in 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 implications of coding P03.6 for newborn care?

Coding P03.6 indicates that the newborn has been affected by complications during labor, which may require additional monitoring and interventions. Accurate coding ensures that the newborn receives appropriate care and that healthcare providers are reimbursed for the services rendered.