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ICD-10 Guide
ICD-10 CodesChapter 16: Certain conditions originating in the perinatal periodP01

P01

Non-billable

Newborn affected by maternal complications of pregnancy

Chapter 16:Certain conditions originating in the perinatal period

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 P01 is a used to indicate a diagnosis of newborn affected by maternal complications of pregnancy.

Key Diagnostic Point:

The ICD-10 Level 1 Category code P01 encompasses newborns who are affected by complications arising from maternal conditions during pregnancy. This category includes a variety of situations where maternal health issues, such as gestational diabetes, hypertension, or infections, have a direct impact on the newborn's health. These complications can lead to various outcomes including low birth weight, preterm birth, or other neonatal issues that require careful monitoring and management. Understanding the implications of maternal health on newborns is crucial for providing appropriate care and interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Maternal health assessment
  • Newborn health evaluation
  • Interdisciplinary care coordination

Audit Risk Factors

  • Inadequate documentation of maternal complications
  • Misclassification of newborn conditions
  • Failure to link maternal and newborn health records

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of P01 is significant as it highlights the importance of maternal health on newborn outcomes. Addressing maternal complications can lead to improved health outcomes for newborns, reducing the risk of long-term health issues. Administratively, accurate coding and billing practices related to P01 can enhance quality measures and population health initiatives, as healthcare providers focus on integrated care models that address both maternal and newborn health, ultimately contributing to better healthcare trends and outcomes.

ICD-9 vs ICD-10

The clinical impact of P01 is significant as it highlights the importance of maternal health on newborn outcomes. Addressing maternal complications can lead to improved health outcomes for newborns, reducing the risk of long-term health issues. Administratively, accurate coding and billing practices related to P01 can enhance quality measures and population health initiatives, as healthcare providers focus on integrated care models that address both maternal and newborn health, ultimately contributing to better healthcare trends and outcomes.

Reimbursement & Billing Impact

billing practices related to P01 can enhance quality measures and population health initiatives, as healthcare providers focus on integrated care models that address both maternal and newborn health, ultimately contributing to better healthcare trends and outcomes.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for P01

Coding & Billing References

  • •
    Official ICD-10 Guidelines for P01

Frequently Asked Questions

What conditions are included in P01?

P01 includes conditions such as newborns affected by maternal diabetes, hypertension, infections, and other complications that arise during pregnancy and can impact the newborn's health.

When should I use P01 codes?

P01 codes should be used when a newborn is diagnosed with conditions that are directly related to maternal complications during pregnancy, ensuring that the link between maternal and newborn health is clearly documented.

What documentation is required for P01?

Documentation for P01 should include detailed maternal health records, any complications experienced during pregnancy, and the specific impact on the newborn, including clinical findings and treatment plans.