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v1.0.0
ICD-10 Guide
ICD-10 CodesP39.8

P39.8

Billable

Other specified infections specific to the perinatal period

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

Code Description

ICD-10 P39.8 is a billable code used to indicate a diagnosis of other specified infections specific to the perinatal period.

Key Diagnostic Point:

P39.8 encompasses a variety of infections that occur during the perinatal period, which is defined as the time frame from 22 weeks of gestation to 7 days after birth. This code is particularly relevant for infections that do not fall under more specific categories, including but not limited to neonatal urinary tract infections (UTIs). UTIs in neonates can arise from various factors, including congenital anomalies, catheterization, or infections acquired during delivery. Symptoms may include fever, irritability, poor feeding, and jaundice. Diagnosis typically involves urinalysis and urine culture. Treatment often requires antibiotics, and close monitoring is essential to prevent complications such as renal damage. Accurate coding is crucial for appropriate management and reimbursement, as well as for tracking infection rates in neonatal populations. Understanding the nuances of this code is vital for healthcare providers and coders alike, as it aids in the identification and management of infections that may not be explicitly categorized elsewhere.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of infections
  • Need for precise documentation of infection type and source
  • Differentiation from other perinatal infections
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Misclassification of infection types
  • Failure to document treatment protocols
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed clinical notes on infection symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Neonates presenting with fever and irritability, requiring workup for UTI.

Billing Considerations

Consideration of gestational age and birth weight in infection risk assessment.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including family history of infections.

Common Clinical Scenarios

Pediatric follow-up visits for neonates with previous infections.

Billing Considerations

Awareness of developmental milestones and their relation to infection recovery.

Coding Guidelines

Inclusion Criteria

Use P39.8 When
  • Coders should adhere to the official ICD
  • CM coding guidelines, ensuring that all documentation supports the diagnosis
  • Specific criteria for neonatal infections include age at diagnosis, clinical presentation, and laboratory findings

Exclusion Criteria

Do NOT use P39.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87086CPT Code

Urine culture, bacterial

Clinical Scenario

Used when a UTI is suspected in a neonate.

Documentation Requirements

Document the clinical rationale for testing and results.

Specialty Considerations

Neonatologists should ensure that cultures are obtained correctly to avoid contamination.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal infections, improving data accuracy and facilitating better patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal infections, improving data accuracy and facilitating better patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal infections, improving data accuracy and facilitating better patient care management.

Resources

Clinical References

  • •
    CDC Guidelines for Neonatal Infections

Coding & Billing References

  • •
    CDC Guidelines for Neonatal Infections

Frequently Asked Questions

What are the common causes of neonatal urinary tract infections?

Common causes include congenital anomalies, catheterization, and infections acquired during delivery. Premature infants are at higher risk due to their underdeveloped immune systems.