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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.5

P02.5

Billable

Newborn affected by other compression of umbilical cord

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

Code Description

ICD-10 P02.5 is a billable code used to indicate a diagnosis of newborn affected by other compression of umbilical cord.

Key Diagnostic Point:

Newborns affected by compression of the umbilical cord can experience significant complications, particularly when associated with conditions such as placenta previa, cord prolapse, and chorioamnionitis. Compression of the umbilical cord can lead to reduced blood flow and oxygen supply to the fetus, resulting in fetal distress and potential long-term neurological damage. In cases of placenta previa, where the placenta is abnormally positioned over the cervix, there is an increased risk of cord compression during labor. Cord prolapse, which occurs when the umbilical cord slips ahead of the presenting part of the fetus, can also lead to acute compression, necessitating immediate intervention. Chorioamnionitis, an infection of the fetal membranes, can contribute to fetal distress and complicate the clinical picture. Accurate coding of P02.5 requires a thorough understanding of these conditions and their implications for neonatal care, as well as the potential for associated complications such as hypoxia and acidosis in the newborn.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of cord compression
  • Understanding associated maternal conditions (e.g., placenta previa, chorioamnionitis)
  • Identifying clinical signs of fetal distress
  • Documenting the timing and nature of interventions

Audit Risk Factors

  • Inadequate documentation of maternal conditions
  • Failure to note the timing of cord compression events
  • Misclassification of the type of cord compression
  • Lack of clarity in the clinical narrative regarding fetal distress

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of the newborn's clinical status, including Apgar scores, signs of distress, and interventions performed.

Common Clinical Scenarios

Newborns presenting with signs of hypoxia or acidosis due to umbilical cord compression during delivery.

Billing Considerations

Ensure that all relevant maternal history is documented to support the coding of P02.5.

Pediatrics

Documentation Requirements

Documentation should include follow-up assessments of the newborn's neurological status and any interventions related to complications from umbilical cord compression.

Common Clinical Scenarios

Pediatric evaluations of newborns with a history of umbilical cord complications, assessing for developmental delays.

Billing Considerations

Consider the long-term implications of umbilical cord compression on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P02.5 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring that all relevant maternal and fetal factors are documented
  • Use additional codes to capture any associated conditions or complications

Exclusion Criteria

Do NOT use P02.5 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 P02.5 when a newborn requires evaluation due to complications from umbilical cord compression.

Documentation Requirements

Document the newborn's clinical status and any interventions performed.

Specialty Considerations

Neonatologists should ensure that all relevant clinical details are captured.

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 P02.5, which provides better granularity in capturing the complexities of umbilical cord compression and its effects on newborns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including P02.5, which provides better granularity in capturing the complexities of umbilical cord compression and its effects on newborns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including P02.5, which provides better granularity in capturing the complexities of umbilical cord compression and its effects on newborns.

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 umbilical cord compression?

Common complications include fetal distress, hypoxia, acidosis, and potential long-term neurological impairments. Accurate coding and documentation are essential to capture these risks.