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v1.0.0
ICD-10 Guide
ICD-10 CodesP84

P84

Billable

Other problems with newborn

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

Code Description

ICD-10 P84 is a billable code used to indicate a diagnosis of other problems with newborn.

Key Diagnostic Point:

Code P84 encompasses a variety of conditions affecting newborns that do not fall under more specific categories. In the context of digestive system disorders, this may include issues such as feeding intolerance, gastroesophageal reflux, and malabsorption syndromes. Newborns are particularly vulnerable to these conditions due to their immature gastrointestinal systems, which can lead to significant feeding challenges and nutritional deficits. Additionally, thermoregulation problems in newborns, such as hypothermia or hyperthermia, are critical concerns. Newborns have a limited ability to regulate their body temperature, making them susceptible to temperature fluctuations. These conditions require careful monitoring and management in neonatal intensive care units (NICUs) to prevent complications such as hypoglycemia or metabolic disturbances. Accurate coding of these issues is essential for appropriate treatment and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes for digestive disorders
  • Need for detailed clinical documentation to support diagnosis
  • Differentiation between transient and chronic conditions
  • Variability in presentation and management of thermoregulation issues

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the nature of digestive disorders
  • Misclassification of thermoregulation issues
  • Lack of follow-up documentation for ongoing conditions

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of feeding patterns, growth metrics, and temperature regulation assessments are crucial.

Common Clinical Scenarios

Common scenarios include a premature infant with feeding intolerance or a newborn presenting with hypothermia due to environmental factors.

Billing Considerations

Coders should be aware of the developmental stage of the newborn and the implications for digestive and thermoregulatory functions.

Pediatrics

Documentation Requirements

Documentation should include a comprehensive history of the newborn's feeding and temperature management.

Common Clinical Scenarios

Pediatric cases may involve follow-up for digestive issues that originated in the neonatal period, such as reflux or failure to thrive.

Billing Considerations

Pediatric coders must consider the long-term implications of neonatal conditions on child development.

Coding Guidelines

Inclusion Criteria

Use P84 When
  • Coders should refer to the official ICD
  • CM guidelines for perinatal coding, ensuring that all documentation supports the diagnosis
  • Specific criteria for digestive disorders and thermoregulation issues must be met for accurate coding

Exclusion Criteria

Do NOT use P84 When
No specific exclusions found.

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the newborn

Clinical Scenario

Used when managing complex cases of digestive or thermoregulation issues in the NICU.

Documentation Requirements

Detailed documentation of clinical findings, interventions, and patient response.

Specialty Considerations

Neonatologists must ensure comprehensive records to support critical care coding.

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 ability to capture the complexity of cases like those represented by P84. This specificity aids in better resource allocation and care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the ability to capture the complexity of cases like those represented by P84. This specificity aids in better resource allocation and care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the ability to capture the complexity of cases like those represented by P84. This specificity aids in better resource allocation and care management.

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 types of conditions are included under code P84?

Code P84 includes a variety of non-specific problems encountered in newborns, particularly focusing on digestive system disorders and thermoregulation issues. Conditions such as feeding intolerance, reflux, and temperature regulation problems are common examples.