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ICD-10 Guide
ICD-10 CodesP24.10

P24.10

Billable

Neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms

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

Code Description

ICD-10 P24.10 is a billable code used to indicate a diagnosis of neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms.

Key Diagnostic Point:

Neonatal aspiration of clear amniotic fluid and mucus occurs when a newborn inhales a mixture of amniotic fluid and mucus during or shortly after delivery. This condition is typically benign and does not present with respiratory symptoms, distinguishing it from more severe aspiration syndromes such as meconium aspiration syndrome. The presence of clear amniotic fluid indicates that there is no meconium contamination, which is a significant risk factor for respiratory distress. In most cases, the newborn may exhibit normal respiratory function and vital signs, and the aspiration is often resolved without intervention. However, careful monitoring is essential to ensure that no delayed respiratory complications arise. The condition is generally diagnosed based on clinical observation and may be confirmed through imaging or other diagnostic tests if respiratory symptoms develop later. Understanding the nuances of this condition is crucial for accurate coding and appropriate management in neonatal care.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear differentiation from meconium aspiration syndrome
  • Absence of respiratory symptoms simplifies diagnosis
  • Limited need for extensive intervention or treatment
  • Common occurrence in newborns, leading to familiarity among coders

Audit Risk Factors

  • Misclassification with meconium aspiration codes
  • Inadequate documentation of respiratory status
  • Failure to note the absence of symptoms
  • Incorrect linkage to respiratory distress diagnoses

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Documentation must include the newborn's respiratory status, details of the delivery, and any interventions performed.

Common Clinical Scenarios

Common scenarios include a newborn delivered via cesarean section with clear amniotic fluid or a vaginal delivery where the newborn is observed for aspiration.

Billing Considerations

Coders should ensure that the absence of respiratory symptoms is clearly documented to avoid misclassification.

Pediatrics

Documentation Requirements

Pediatric documentation should reflect any follow-up assessments for respiratory health and developmental milestones.

Common Clinical Scenarios

Pediatricians may encounter cases where newborns are monitored for potential delayed respiratory issues after initial clearance.

Billing Considerations

Consideration should be given to the newborn's overall health and any potential long-term effects of aspiration.

Coding Guidelines

Inclusion Criteria

Use P24.10 When
  • Coders should adhere to the official ICD
  • 10 guidelines, ensuring that the absence of respiratory symptoms is well
  • documented
  • The coding should reflect the clinical scenario accurately, distinguishing between aspiration types

Exclusion Criteria

Do NOT use P24.10 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 when a newborn is evaluated for aspiration but shows no respiratory symptoms.

Documentation Requirements

Documentation must include the newborn's vital signs and any observations related to aspiration.

Specialty Considerations

Neonatologists should ensure that all assessments are documented to support the coding.

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 accuracy of diagnoses and treatment plans. P24.10 provides clarity in distinguishing between types of aspiration, which is crucial for appropriate management and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses and treatment plans. P24.10 provides clarity in distinguishing between types of aspiration, which is crucial for appropriate management and billing.

Reimbursement & Billing Impact

billing.

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 key indicators for coding P24.10?

Key indicators include the presence of clear amniotic fluid aspiration without respiratory symptoms, thorough documentation of the newborn's condition, and monitoring for any potential complications.