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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.00

P24.00

Billable

Meconium aspiration without respiratory symptoms

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

Code Description

ICD-10 P24.00 is a billable code used to indicate a diagnosis of meconium aspiration without respiratory symptoms.

Key Diagnostic Point:

Meconium aspiration syndrome (MAS) occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs around the time of delivery. In cases classified under P24.00, the newborn exhibits no respiratory symptoms, which can complicate the clinical picture. Meconium is typically passed in utero, and its presence in the amniotic fluid can indicate fetal distress. While many infants may clear the meconium without significant issues, some may develop aspiration pneumonia or other complications. The absence of respiratory symptoms suggests that the infant has managed to clear the meconium effectively, but careful monitoring is still essential. Clinicians must assess for any potential long-term effects or complications, including the risk of developing asthma or other respiratory issues later in life. Accurate coding is crucial for tracking outcomes and ensuring appropriate care protocols are followed in neonatal units.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between meconium aspiration with and without respiratory symptoms.
  • Understanding the clinical implications of meconium presence in amniotic fluid.
  • Recognizing the need for thorough documentation to support coding.
  • Identifying potential long-term complications associated with meconium aspiration.

Audit Risk Factors

  • Inadequate documentation of the absence of respiratory symptoms.
  • Failure to document the clinical assessment and monitoring of the infant.
  • Misclassification of meconium aspiration severity.
  • Inconsistent coding practices across different healthcare settings.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of the infant's condition at birth, including Apgar scores, meconium presence, and any interventions.

Common Clinical Scenarios

Infants born through meconium-stained amniotic fluid but showing no signs of respiratory distress.

Billing Considerations

Monitoring for potential delayed respiratory issues and ensuring follow-up assessments are documented.

Pediatrics

Documentation Requirements

Comprehensive history of the infant's neonatal period, including any follow-up visits for respiratory health.

Common Clinical Scenarios

Pediatric evaluations of infants with a history of meconium aspiration without immediate respiratory symptoms.

Billing Considerations

Awareness of potential long-term respiratory issues that may arise from meconium exposure.

Coding Guidelines

Inclusion Criteria

Use P24.00 When
  • Follow the ICD
  • CM guidelines for coding perinatal conditions, ensuring that documentation supports the diagnosis of meconium aspiration without respiratory symptoms
  • Accurate coding requires a clear understanding of the clinical context and any associated conditions

Exclusion Criteria

Do NOT use P24.00 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 with meconium aspiration without respiratory symptoms during initial evaluation.

Documentation Requirements

Document the infant's condition, including any assessments related to meconium aspiration.

Specialty Considerations

Neonatologists should ensure thorough documentation of the infant's respiratory status.

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, including meconium aspiration. 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 neonatal conditions, including meconium aspiration. 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 neonatal conditions, including meconium aspiration. This specificity aids in better tracking of outcomes and resource allocation in neonatal care.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What are the key indicators for coding P24.00?

Key indicators include the presence of meconium in the amniotic fluid, the absence of respiratory symptoms in the newborn, and thorough documentation of the infant's condition during and after delivery.