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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.2

P02.2

Billable

Newborn affected by other and unspecified morphological and functional abnormalities of placenta

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

Code Description

ICD-10 P02.2 is a billable code used to indicate a diagnosis of newborn affected by other and unspecified morphological and functional abnormalities of placenta.

Key Diagnostic Point:

This code is used for newborns who are affected by various complications related to the placenta, umbilical cord, and membranes. These complications can include conditions such as placenta previa, where the placenta is abnormally positioned in the lower uterine segment, potentially obstructing the birth canal. Cord prolapse, which occurs when the umbilical cord slips ahead of the presenting part of the fetus, can lead to cord compression and fetal distress. Chorioamnionitis, an infection of the fetal membranes, can result in significant neonatal morbidity and mortality. Newborns affected by these conditions may present with a range of symptoms, including respiratory distress, low birth weight, and signs of infection. Accurate coding is essential for appropriate management and follow-up care, as these conditions can lead to long-term complications if not properly addressed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of placental abnormalities
  • Need for detailed documentation of maternal and fetal history
  • Differentiation between similar conditions (e.g., chorioamnionitis vs. other infections)
  • Potential for multiple coding scenarios based on complications

Audit Risk Factors

  • Inadequate documentation of maternal history and complications
  • Failure to specify the type of placental abnormality
  • Misclassification of the severity of the newborn's condition
  • Lack of follow-up documentation on the newborn's progress

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including Apgar scores, respiratory status, and any interventions required.

Common Clinical Scenarios

Newborns admitted to the NICU due to respiratory distress from cord compression or infection from chorioamnionitis.

Billing Considerations

Ensure that all relevant maternal complications are documented to support the coding of the newborn's condition.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations that include developmental assessments and follow-up care plans.

Common Clinical Scenarios

Pediatric visits for follow-up on newborns with a history of placental complications, monitoring for growth and developmental milestones.

Billing Considerations

Consider the long-term implications of placental abnormalities on pediatric health and development.

Coding Guidelines

Inclusion Criteria

Use P02.2 When
  • According to ICD
  • 10 coding guidelines, this code should be used when the newborn is directly affected by placental abnormalities
  • Documentation must clearly indicate the relationship between the maternal condition and the newborn's health status

Exclusion Criteria

Do NOT use P02.2 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 in conjunction with P02.2 when the newborn requires additional evaluation due to placental complications.

Documentation Requirements

Document the newborn's condition, interventions, and any complications observed.

Specialty Considerations

Neonatologists should ensure that all relevant clinical findings are captured in the documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of placental and cord abnormalities. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of placental and cord abnormalities. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and quality reporting.

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 complications associated with P02.2?

Common complications include respiratory distress due to cord compression, infection from chorioamnionitis, and low birth weight due to placental insufficiency. Each of these conditions requires careful monitoring and management in the neonatal period.