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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.3

P02.3

Billable

Newborn affected by placental transfusion syndromes

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

Code Description

ICD-10 P02.3 is a billable code used to indicate a diagnosis of newborn affected by placental transfusion syndromes.

Key Diagnostic Point:

Placental transfusion syndromes occur when there is an imbalance in blood flow between twins or between the fetus and the placenta, leading to complications in the newborn. This condition can arise from various complications associated with the placenta, umbilical cord, and membranes, such as placenta previa, cord prolapse, and chorioamnionitis. In cases of placenta previa, the placenta is abnormally positioned over the cervix, which can lead to bleeding and complications during delivery. Cord prolapse occurs when the umbilical cord slips ahead of the presenting part of the fetus, potentially compromising blood flow and oxygen delivery. Chorioamnionitis, an infection of the fetal membranes, can lead to inflammation and increased risk of complications for the newborn. These conditions can result in significant morbidity, including anemia, hypoxia, and even neonatal death if not managed promptly. Accurate coding of P02.3 is essential for proper documentation of the newborn's condition and for guiding appropriate clinical management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various placental and cord complications
  • Understanding the clinical implications of each condition
  • Accurate documentation of maternal and fetal history
  • Potential for multiple coding scenarios based on associated conditions

Audit Risk Factors

  • Inadequate documentation of maternal conditions leading to the newborn's status
  • Failure to capture all relevant complications associated with the newborn
  • Misclassification of the type of transfusion syndrome
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including vital signs, blood work, and imaging results.

Common Clinical Scenarios

Newborns presenting with anemia or hypoxia due to placental transfusion syndromes.

Billing Considerations

Close monitoring of hematocrit levels and potential need for blood transfusions.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations, including developmental assessments and follow-up care plans.

Common Clinical Scenarios

Pediatric follow-up for newborns with a history of placental complications.

Billing Considerations

Awareness of long-term developmental outcomes related to placental transfusion syndromes.

Coding Guidelines

Inclusion Criteria

Use P02.3 When
  • Coders should refer to the official ICD
  • CM guidelines for coding perinatal conditions, ensuring that all relevant maternal and fetal complications are documented
  • Specific criteria for P02
  • 3 include the need for clear documentation of the type of placental transfusion syndrome and its impact on the newborn's health

Exclusion Criteria

Do NOT use P02.3 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 infant

Clinical Scenario

Used when a newborn affected by placental transfusion syndrome requires initial evaluation.

Documentation Requirements

Documentation of the newborn's condition, including any complications and interventions.

Specialty Considerations

Neonatologists should ensure thorough documentation of the newborn's clinical status.

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, including placental transfusion syndromes, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including placental transfusion syndromes, improving the accuracy of data collection 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 key indicators for coding P02.3?

Key indicators include the presence of placental transfusion syndromes, associated maternal complications, and clinical signs in the newborn such as anemia or hypoxia.