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v1.0.0
ICD-10 Guide
ICD-10 CodesP09.8

P09.8

Billable

Other abnormal findings on neonatal screening

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

Code Description

ICD-10 P09.8 is a billable code used to indicate a diagnosis of other abnormal findings on neonatal screening.

Key Diagnostic Point:

P09.8 is used to classify other abnormal findings identified during neonatal screening that do not fall under more specific categories. These findings may arise from maternal factors such as gestational diabetes, infections, or substance exposure during pregnancy, as well as complications during delivery, including birth asphyxia or trauma. Abnormal findings can include metabolic disorders, congenital anomalies, or hematological issues that require further evaluation and management. The identification of these abnormalities is crucial for timely intervention, which can significantly improve neonatal outcomes. Screening typically occurs within the first few days of life and may involve blood tests, physical examinations, and imaging studies. Accurate coding of these findings is essential for appropriate treatment planning and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential abnormal findings requiring specific documentation
  • Need for correlation with maternal history and delivery complications
  • Variability in screening protocols across institutions
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of maternal history
  • Failure to link abnormal findings to specific maternal factors
  • Misclassification of findings due to lack of specificity
  • Inconsistent follow-up documentation

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of screening results, maternal history, and any interventions performed.

Common Clinical Scenarios

NICU admissions for abnormal metabolic screening results, follow-up for congenital anomalies.

Billing Considerations

Ensure that all findings are documented with clear links to maternal factors and delivery complications.

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Pediatric evaluations for infants with abnormal newborn screening results leading to further diagnostic testing.

Billing Considerations

Consider the long-term implications of abnormal findings on child development and health.

Coding Guidelines

Inclusion Criteria

Use P09.8 When
  • Follow the official ICD
  • CM guidelines for coding and reporting, ensuring that all relevant clinical information is documented
  • Use additional codes to specify any underlying conditions or complications related to the abnormal findings

Exclusion Criteria

Do NOT use P09.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for obtaining blood samples for metabolic screening.

Documentation Requirements

Document the reason for blood collection and any abnormal findings.

Specialty Considerations

Neonatologists should ensure that all screening protocols are followed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the ability to track and manage abnormal findings. P09.8 provides a broader category for findings that may not fit neatly into other classifications, enhancing clinical understanding and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the ability to track and manage abnormal findings. P09.8 provides a broader category for findings that may not fit neatly into other classifications, enhancing clinical understanding and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the ability to track and manage abnormal findings. P09.8 provides a broader category for findings that may not fit neatly into other classifications, enhancing clinical understanding and resource allocation.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Newborn Screening

Coding & Billing References

  • •
    American Academy of Pediatrics - Newborn Screening

Frequently Asked Questions

What types of conditions can be classified under P09.8?

P09.8 can include a variety of abnormal findings such as metabolic disorders, congenital anomalies, and hematological issues that arise from maternal factors or delivery complications. Each case should be evaluated based on specific clinical findings and documented accordingly.