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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.69

P02.69

Billable

Newborn affected by other conditions of umbilical cord

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

Code Description

ICD-10 P02.69 is a billable code used to indicate a diagnosis of newborn affected by other conditions of umbilical cord.

Key Diagnostic Point:

Newborns affected by conditions related to the umbilical cord can experience a range of complications that may impact their health at birth. Conditions such as placenta previa, where the placenta is abnormally positioned over the cervix, can lead to significant bleeding during delivery, necessitating careful monitoring and potential surgical intervention. Cord prolapse, which occurs when the umbilical cord slips ahead of the presenting part of the fetus, can compromise fetal oxygenation and requires immediate medical attention. Chorioamnionitis, an infection of the membranes surrounding the fetus, can lead to premature rupture of membranes and subsequent complications for the newborn, including sepsis and respiratory distress. These conditions necessitate a multidisciplinary approach to care, including obstetricians, neonatologists, and pediatricians, to ensure optimal outcomes for affected newborns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions that can affect the umbilical cord
  • Need for detailed clinical documentation to support coding
  • Potential for overlapping diagnoses that complicate coding
  • Variability in clinical presentation and management of conditions

Audit Risk Factors

  • Inadequate documentation of maternal conditions affecting the newborn
  • Failure to specify the type of umbilical cord condition
  • Misclassification of the severity of the newborn's condition
  • Lack of clarity in the clinical narrative linking diagnosis to treatment

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

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

Common Clinical Scenarios

Newborns presenting with respiratory distress due to cord prolapse or sepsis from chorioamnionitis.

Billing Considerations

Accurate coding requires understanding the implications of maternal conditions on neonatal outcomes.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations, including follow-up assessments for developmental milestones.

Common Clinical Scenarios

Pediatric follow-up for newborns with complications from umbilical cord issues, such as developmental delays or chronic respiratory conditions.

Billing Considerations

Pediatricians must be aware of the long-term implications of perinatal conditions on child health.

Coding Guidelines

Inclusion Criteria

Use P02.69 When
  • Coders should refer to the official ICD
  • CM guidelines for perinatal coding, ensuring that all relevant maternal and neonatal conditions are documented and coded appropriately
  • Specific criteria for coding complications of the umbilical cord must be met, including the need for clinical evidence of the condition's impact on the newborn

Exclusion Criteria

Do NOT use P02.69 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 umbilical cord complications requiring initial evaluation.

Documentation Requirements

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

Specialty Considerations

Neonatologists should ensure that all relevant clinical findings are documented to support the coding.

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 accuracy of data collection and reimbursement processes. P02.69 provides a clearer understanding of the complexities involved in newborn care related to umbilical cord conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the accuracy of data collection and reimbursement processes. P02.69 provides a clearer understanding of the complexities involved in newborn care related to umbilical cord conditions.

Reimbursement & Billing Impact

reimbursement processes. P02.69 provides a clearer understanding of the complexities involved in newborn care related to umbilical cord conditions.

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 conditions?

Common complications include fetal distress due to cord prolapse, infection from chorioamnionitis, and bleeding issues related to placenta previa. Each condition requires specific management strategies to ensure the health of the newborn.