ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesP24.31

P24.31

Billable

Neonatal aspiration of milk and regurgitated food with respiratory symptoms

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

Code Description

ICD-10 P24.31 is a billable code used to indicate a diagnosis of neonatal aspiration of milk and regurgitated food with respiratory symptoms.

Key Diagnostic Point:

Neonatal aspiration of milk and regurgitated food occurs when a newborn inhales milk or food particles into the lungs, leading to respiratory distress. This condition is particularly common in preterm infants or those with feeding difficulties. The aspiration can result from improper feeding techniques, gastroesophageal reflux, or an immature swallowing reflex. Symptoms may include coughing, wheezing, difficulty breathing, and cyanosis. Diagnosis typically involves clinical evaluation and may be supported by imaging studies to assess for aspiration pneumonia or other complications. Management includes supportive care, such as oxygen therapy, suctioning of the airway, and, in some cases, feeding modifications or interventions to prevent further aspiration. Early recognition and intervention are crucial to minimize respiratory complications and ensure optimal outcomes for affected neonates.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between aspiration of milk and meconium aspiration
  • Identifying associated respiratory symptoms accurately
  • Understanding the nuances of feeding methods and their impact on aspiration risk
  • Documenting the clinical context and severity of symptoms

Audit Risk Factors

  • Inadequate documentation of feeding methods
  • Failure to note respiratory symptoms clearly
  • Misclassification of aspiration type (milk vs. meconium)
  • Lack of follow-up documentation on the infant's progress

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on feeding techniques, respiratory assessments, and interventions taken.

Common Clinical Scenarios

Infants in the NICU with feeding intolerance, respiratory distress, or those requiring suctioning due to aspiration.

Billing Considerations

Consider the infant's gestational age and overall health status when coding.

Pediatrics

Documentation Requirements

Thorough history of feeding practices and any previous episodes of aspiration.

Common Clinical Scenarios

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

Billing Considerations

Ensure continuity of care documentation, especially if transitioning from NICU to outpatient.

Coding Guidelines

Inclusion Criteria

Use P24.31 When
  • Follow the ICD
  • CM guidelines for coding respiratory conditions and ensure accurate documentation of the infant's clinical status
  • Use additional codes for any associated conditions, such as respiratory distress or pneumonia

Exclusion Criteria

Do NOT use P24.31 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 with aspiration is evaluated in the hospital.

Documentation Requirements

Document the newborn's clinical status, feeding history, and any interventions performed.

Specialty Considerations

Neonatologists should ensure detailed respiratory assessments are included.

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 for conditions like aspiration.

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 for conditions like aspiration.

Reimbursement & Billing Impact

reimbursement processes for conditions like aspiration.

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 causes of neonatal aspiration?

Common causes include improper feeding techniques, gastroesophageal reflux, and an immature swallowing reflex, particularly in preterm infants.