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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.8

P24.8

Billable

Other neonatal aspiration

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

Code Description

ICD-10 P24.8 is a billable code used to indicate a diagnosis of other neonatal aspiration.

Key Diagnostic Point:

Neonatal aspiration syndromes encompass a range of conditions where a newborn inhales foreign materials into the lungs, leading to respiratory complications. The most common forms include meconium aspiration syndrome (MAS), which occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs during or before delivery. This can lead to severe respiratory distress and requires immediate medical intervention. Milk aspiration, on the other hand, can occur when infants regurgitate or vomit milk and subsequently inhale it, leading to aspiration pneumonia. Other forms of aspiration may involve foreign objects or fluids that are not classified under the primary categories. The clinical management of these conditions often involves supportive care in a neonatal intensive care unit (NICU), including oxygen therapy, mechanical ventilation, and careful monitoring of respiratory status. Accurate coding of these conditions is crucial for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of aspiration (meconium vs. milk vs. other)
  • Understanding the clinical implications of each type of aspiration
  • Variability in presentation and severity among affected newborns
  • Documentation requirements for different clinical scenarios

Audit Risk Factors

  • Inadequate documentation of the type of aspiration
  • Failure to specify the clinical severity of the condition
  • Misclassification of aspiration types
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of the infant's respiratory status, type of aspiration, and treatment provided.

Common Clinical Scenarios

Infants presenting with respiratory distress after delivery, requiring NICU admission for monitoring and treatment.

Billing Considerations

Consideration of gestational age and birth weight, as these factors can influence the severity of aspiration syndromes.

Pediatrics

Documentation Requirements

Thorough history of feeding practices and any episodes of vomiting or regurgitation leading to aspiration.

Common Clinical Scenarios

Pediatric patients with a history of aspiration pneumonia due to milk or food aspiration.

Billing Considerations

Awareness of developmental milestones and potential long-term effects of aspiration on growth and health.

Coding Guidelines

Inclusion Criteria

Use P24.8 When
  • Follow the official ICD
  • CM coding guidelines for neonatal conditions, ensuring accurate documentation of the type of aspiration and any associated respiratory issues
  • Use additional codes to capture any complications or co
  • morbidities

Exclusion Criteria

Do NOT use P24.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

94640CPT Code

Continuous positive airway pressure (CPAP) ventilation

Clinical Scenario

Used for infants with respiratory distress due to aspiration syndromes.

Documentation Requirements

Document the indication for CPAP and the infant's response to treatment.

Specialty Considerations

Neonatologists should ensure that all respiratory interventions are well-documented.

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 accuracy of diagnosis and treatment tracking. This specificity aids in better understanding the epidemiology of these conditions and enhances reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding the epidemiology of these conditions and enhances reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 of neonatal aspiration include meconium aspiration during delivery, aspiration of milk during feeding, and inhalation of foreign objects. Each cause may present differently and requires specific management strategies.