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ICD-10 Guide
ICD-10 CodesP01.2

P01.2

Billable

Newborn affected by oligohydramnios

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

Code Description

ICD-10 P01.2 is a billable code used to indicate a diagnosis of newborn affected by oligohydramnios.

Key Diagnostic Point:

Oligohydramnios refers to a condition characterized by a deficiency of amniotic fluid surrounding the fetus during pregnancy. This condition can significantly impact fetal development and is often associated with maternal complications such as incompetent cervix, premature rupture of membranes (PROM), and multiple pregnancies. Incompetent cervix can lead to premature birth, which may result in oligohydramnios due to reduced fetal urine output. PROM can cause a decrease in amniotic fluid levels, leading to oligohydramnios, which can affect lung development and increase the risk of neonatal complications. In cases of multiple pregnancies, the risk of oligohydramnios is heightened due to the shared uterine space and potential for placental insufficiency. Newborns affected by oligohydramnios may present with various complications, including pulmonary hypoplasia, limb deformities, and facial deformities, necessitating careful monitoring and management in the neonatal intensive care unit (NICU).

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between oligohydramnios caused by maternal conditions versus other etiologies.
  • Understanding the implications of oligohydramnios on fetal development and neonatal outcomes.
  • Navigating the coding for associated maternal complications and their impact on the newborn.
  • Ensuring accurate documentation of maternal history and delivery circumstances.

Audit Risk Factors

  • Inadequate documentation of maternal history related to oligohydramnios.
  • Failure to link maternal complications to the newborn's condition.
  • Misclassification of the severity of oligohydramnios.
  • Omitting associated conditions that may affect coding accuracy.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including gestational age, birth weight, and any immediate complications.

Common Clinical Scenarios

Newborns presenting with respiratory distress due to pulmonary hypoplasia secondary to oligohydramnios.

Billing Considerations

Close monitoring for developmental delays and other long-term outcomes related to oligohydramnios.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations focusing on growth and development milestones.

Common Clinical Scenarios

Follow-up visits for newborns with a history of oligohydramnios to assess ongoing health and developmental progress.

Billing Considerations

Awareness of potential long-term effects of oligohydramnios on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P01.2 When
  • 10 guidelines specify that P01
  • 2 should be used when the newborn is directly affected by oligohydramnios due to maternal complications
  • Coders must ensure that documentation supports the diagnosis and includes relevant maternal history

Exclusion Criteria

Do NOT use P01.2 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 for newborns affected by oligohydramnios requiring initial evaluation in the NICU.

Documentation Requirements

Documentation of the newborn's condition, gestational age, and any immediate interventions.

Specialty Considerations

Neonatologists should ensure comprehensive 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 conditions like oligohydramnios, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of the new coding structure to ensure compliance and accuracy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like oligohydramnios, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of the new coding structure to ensure compliance and accuracy.

Reimbursement & Billing Impact

reimbursement processes. Coders must be familiar with the nuances of the new coding structure to ensure compliance and accuracy.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Guidelines for Coding and Billing

Coding & Billing References

  • •
    American Academy of Pediatrics - Guidelines for Coding and Billing

Frequently Asked Questions

What are the common complications associated with oligohydramnios in newborns?

Common complications include pulmonary hypoplasia, limb deformities, and facial deformities. These conditions arise due to the lack of amniotic fluid, which is crucial for normal fetal development.