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ICD-10 Guide
ICD-10 CodesP24.30

P24.30

Billable

Neonatal aspiration of milk and regurgitated food without respiratory symptoms

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

Code Description

ICD-10 P24.30 is a billable code used to indicate a diagnosis of neonatal aspiration of milk and regurgitated food without respiratory symptoms.

Key Diagnostic Point:

Neonatal aspiration of milk and regurgitated food occurs when a newborn inhales milk or food particles into the lungs, which can happen during feeding or regurgitation. This condition is particularly common in premature infants or those with feeding difficulties. Unlike meconium aspiration syndrome, which involves the inhalation of meconium-stained amniotic fluid, P24.30 specifically refers to the aspiration of milk or regurgitated food without accompanying respiratory symptoms. Clinically, this condition may present with feeding intolerance, but the absence of respiratory distress is a key differentiator. The management typically involves monitoring the infant's feeding patterns and ensuring safe feeding practices to prevent further aspiration events. In most cases, the prognosis is good, and with appropriate care, infants recover without long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between aspiration types (milk vs. meconium)
  • Understanding the absence of respiratory symptoms
  • Documenting feeding practices and infant responses
  • Identifying associated conditions (e.g., GERD)

Audit Risk Factors

  • Inadequate documentation of feeding practices
  • Misclassification of aspiration type
  • Failure to note absence of respiratory symptoms
  • Inconsistent coding of associated conditions

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on feeding methods, infant responses, and any interventions taken.

Common Clinical Scenarios

Infants in the NICU experiencing feeding intolerance or regurgitation without respiratory distress.

Billing Considerations

Ensure clear documentation of the absence of respiratory symptoms to support the use of P24.30.

Pediatrics

Documentation Requirements

Comprehensive records of feeding history and any gastrointestinal symptoms.

Common Clinical Scenarios

Pediatric follow-ups for infants with a history of aspiration during feeding.

Billing Considerations

Consider the broader context of the infant's health, including any developmental concerns.

Coding Guidelines

Inclusion Criteria

Use P24.30 When
  • Follow the official ICD
  • CM guidelines for coding neonatal conditions, ensuring accurate documentation of the infant's clinical status and feeding practices

Exclusion Criteria

Do NOT use P24.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the critically ill infant

Clinical Scenario

Used when an infant requires intensive monitoring due to aspiration concerns.

Documentation Requirements

Detailed notes on the infant's clinical status and interventions.

Specialty Considerations

Neonatologists should ensure comprehensive documentation to support critical care 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 data collection and reimbursement processes. P24.30 provides a clear distinction from other aspiration syndromes, aiding in better clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of data collection and reimbursement processes. P24.30 provides a clear distinction from other aspiration syndromes, aiding in better clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. P24.30 provides a clear distinction from other aspiration syndromes, aiding in better clinical management and research.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Care

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Care

Frequently Asked Questions

What are the key indicators for using P24.30?

P24.30 should be used when a newborn has aspirated milk or regurgitated food without any respiratory symptoms. Documentation must clearly reflect the absence of respiratory distress and detail the infant's feeding practices.