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ICD-10 Guide
ICD-10 CodesP83.9

P83.9

Billable

Condition of the integument specific to newborn, unspecified

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

Code Description

ICD-10 P83.9 is a billable code used to indicate a diagnosis of condition of the integument specific to newborn, unspecified.

Key Diagnostic Point:

P83.9 refers to unspecified conditions of the integument in newborns, which can encompass a variety of skin-related issues that may arise during the perinatal period. These conditions can include transient neonatal pustular melanosis, erythema toxicum neonatorum, and sclerema neonatorum, among others. Sclerema neonatorum is a rare but serious condition characterized by hardening of the skin due to subcutaneous fat necrosis, often seen in premature infants or those with low birth weight. The skin appears tense and indurated, typically affecting the extremities and trunk. The etiology is thought to be related to metabolic disturbances and is often associated with underlying conditions such as hypothermia or sepsis. Accurate diagnosis and management are crucial, as the condition can lead to significant morbidity if not addressed promptly. Treatment may involve supportive care, maintaining normothermia, and addressing any underlying causes. Given the variability in presentation and the potential for overlap with other skin conditions, precise coding is essential for appropriate clinical management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of integument conditions
  • Overlap with other skin conditions requiring differential diagnosis
  • Need for detailed clinical documentation to support coding
  • Potential for misdiagnosis leading to incorrect coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the condition leading to coding errors
  • Misinterpretation of skin findings leading to incorrect code assignment
  • Lack of clarity on the severity and treatment of the condition

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed descriptions of skin findings, treatment plans, and any associated conditions.

Common Clinical Scenarios

NICU admissions for premature infants with skin conditions, management of sclerema neonatorum.

Billing Considerations

Understanding the implications of skin conditions on overall neonatal health and development.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including family history of skin conditions.

Common Clinical Scenarios

Follow-up visits for newborns with integument conditions, management of skin infections.

Billing Considerations

Awareness of how perinatal skin conditions may affect long-term pediatric health.

Coding Guidelines

Inclusion Criteria

Use P83.9 When
  • Coders should refer to the official ICD
  • CM guidelines for coding integument conditions, ensuring that all relevant clinical documentation is captured to support the diagnosis
  • Specific attention should be paid to the definitions and criteria for each integument condition

Exclusion Criteria

Do NOT use P83.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the neonate

Clinical Scenario

Used when managing a newborn with severe integument conditions requiring intensive monitoring.

Documentation Requirements

Detailed notes on the clinical status and treatment provided.

Specialty Considerations

Neonatologists should ensure that all critical care elements 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 integument conditions, improving the ability to capture the nuances of neonatal skin issues. This specificity aids in better clinical management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of integument conditions, improving the ability to capture the nuances of neonatal skin issues. This specificity aids in better clinical management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common integument conditions in newborns?

Common integument conditions in newborns include erythema toxicum, transient neonatal pustular melanosis, and sclerema neonatorum. Each condition has distinct clinical features and requires specific documentation for accurate coding.