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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.80

P24.80

Billable

Other neonatal aspiration without respiratory symptoms

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

Code Description

ICD-10 P24.80 is a billable code used to indicate a diagnosis of other neonatal aspiration without respiratory symptoms.

Key Diagnostic Point:

Neonatal aspiration syndromes occur when a newborn inhales a foreign substance into the lungs, which can lead to various complications. The most common forms of aspiration in neonates include meconium aspiration syndrome (MAS) and milk aspiration. Meconium aspiration occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs during or before delivery, potentially leading to airway obstruction and chemical pneumonitis. However, in cases coded under P24.80, the newborn does not exhibit respiratory symptoms, indicating that while aspiration has occurred, it has not yet resulted in significant respiratory distress or complications. Milk aspiration, on the other hand, can occur when a newborn regurgitates or aspirates milk during feeding, which may also lead to aspiration pneumonia if not managed properly. Accurate coding of P24.80 is crucial for tracking neonatal outcomes and ensuring appropriate care protocols are followed, especially in the NICU setting where monitoring and intervention are critical.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of aspiration (meconium vs. milk)
  • Identifying absence of respiratory symptoms accurately
  • Understanding the clinical implications of aspiration in neonates
  • Documenting the timing and circumstances of aspiration

Audit Risk Factors

  • Inadequate documentation of the absence of respiratory symptoms
  • Misclassification of aspiration type (meconium vs. milk)
  • Failure to document the clinical context of aspiration
  • Inconsistent coding practices among different healthcare providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the newborn's feeding history, any observed aspiration events, and clinical assessments.

Common Clinical Scenarios

A newborn in the NICU is observed to have aspirated meconium but shows no respiratory distress; monitoring and supportive care are provided.

Billing Considerations

Ensure that all clinical observations are documented, including feeding methods and any interventions taken.

Pediatrics

Documentation Requirements

Documentation should include the child's feeding patterns, any episodes of vomiting or aspiration, and follow-up assessments.

Common Clinical Scenarios

A pediatrician sees a newborn in an outpatient setting who has a history of milk aspiration but is otherwise healthy.

Billing Considerations

Consider the developmental milestones and feeding practices that may contribute to aspiration risks.

Coding Guidelines

Inclusion Criteria

Use P24.80 When
  • According to ICD
  • 10 guidelines, P24
  • 80 should be used when a newborn has experienced aspiration without respiratory symptoms
  • Coders must ensure that the clinical documentation supports the diagnosis and that the absence of respiratory distress is clearly noted

Exclusion Criteria

Do NOT use P24.80 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 without respiratory symptoms.

Documentation Requirements

Document the newborn's feeding history and any observed aspiration events.

Specialty Considerations

Neonatologists should ensure thorough assessments are 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 ability to track outcomes and manage care effectively.

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 outcomes and manage care effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the ability to track outcomes and manage care effectively.

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 should I document to support the use of code P24.80?

You should document the specific circumstances of the aspiration event, the absence of respiratory symptoms, and any relevant clinical assessments or interventions taken.