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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.11

P24.11

Billable

Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms

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

Code Description

ICD-10 P24.11 is a billable code used to indicate a diagnosis of neonatal aspiration of (clear) amniotic fluid and mucus with 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 can lead to respiratory symptoms such as tachypnea, grunting, and retractions. The aspiration can occur in cases of rapid delivery or when the amniotic fluid is clear, which may not be as readily recognized as meconium-stained fluid. The clinical presentation may vary, but respiratory distress is a common symptom. Management typically involves supportive care, including oxygen therapy and monitoring in a neonatal intensive care unit (NICU) setting. The prognosis is generally good, especially with prompt recognition and intervention. However, it is crucial to differentiate this condition from meconium aspiration syndrome, which has more severe implications and requires different management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from meconium aspiration syndrome
  • Variability in clinical presentation
  • Need for accurate documentation of respiratory symptoms
  • Potential for co-existing conditions

Audit Risk Factors

  • Inadequate documentation of respiratory symptoms
  • Failure to differentiate between aspiration types
  • Incorrect coding of associated conditions
  • Lack of clarity in the delivery notes regarding fluid type

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of respiratory assessment, including signs of distress and interventions provided.

Common Clinical Scenarios

Newborns presenting with respiratory distress shortly after birth, particularly in cases of rapid delivery.

Billing Considerations

Ensure clear documentation of the type of fluid aspirated and any associated symptoms to support accurate coding.

Pediatrics

Documentation Requirements

Documentation should include a thorough history of the delivery and any respiratory interventions required.

Common Clinical Scenarios

Pediatric follow-up visits for newborns with a history of aspiration, monitoring for ongoing respiratory issues.

Billing Considerations

Consider the long-term implications of aspiration on respiratory health in pediatric care.

Coding Guidelines

Inclusion Criteria

Use P24.11 When
  • Follow the official ICD
  • CM guidelines for coding respiratory conditions in newborns
  • Ensure that documentation supports the diagnosis of aspiration and includes details on the type of fluid and respiratory symptoms

Exclusion Criteria

Do NOT use P24.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

94640CPT Code

Pressurized inhalation treatment

Clinical Scenario

Used for newborns with respiratory distress due to aspiration.

Documentation Requirements

Document the need for respiratory support and the type of treatment provided.

Specialty Considerations

Neonatologists should ensure that the rationale for treatment aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the ability to track and manage these conditions effectively. The granularity of ICD-10 codes helps in better understanding the epidemiology and outcomes of neonatal respiratory conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the ability to track and manage these conditions effectively. The granularity of ICD-10 codes helps in better understanding the epidemiology and outcomes of neonatal respiratory conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the ability to track and manage these conditions effectively. The granularity of ICD-10 codes helps in better understanding the epidemiology and outcomes of neonatal respiratory conditions.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Frequently Asked Questions

What are the common symptoms of neonatal aspiration of clear amniotic fluid?

Common symptoms include tachypnea, grunting, retractions, and in some cases, cyanosis. These symptoms typically arise shortly after birth and require prompt assessment and management.