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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.7

P02.7

Billable

Newborn affected by chorioamnionitis

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

Code Description

ICD-10 P02.7 is a billable code used to indicate a diagnosis of newborn affected by chorioamnionitis.

Key Diagnostic Point:

Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) that can significantly impact the health of the newborn. This condition is often associated with prolonged rupture of membranes and can lead to various complications, including preterm birth, respiratory distress syndrome, and sepsis in the newborn. The inflammatory response triggered by the infection can affect the fetus's development and may result in neurological impairments or other long-term health issues. Clinically, newborns affected by chorioamnionitis may present with signs of infection, such as temperature instability, lethargy, poor feeding, and respiratory distress. Early identification and management are crucial to mitigate potential complications. Treatment typically involves supportive care in a neonatal intensive care unit (NICU) and may include antibiotics to treat or prevent infection. Accurate coding of this condition is essential for appropriate clinical management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between chorioamnionitis and other perinatal infections.
  • Understanding the implications of maternal health on newborn outcomes.
  • Documenting associated complications accurately.
  • Navigating coding guidelines for multiple related conditions.

Audit Risk Factors

  • Inadequate documentation of maternal infection status.
  • Failure to document associated neonatal complications.
  • Misclassification of the severity of the condition.
  • Inconsistent coding of related diagnoses.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of clinical signs, laboratory findings, and treatment protocols.

Common Clinical Scenarios

Newborns presenting with respiratory distress and fever shortly after birth.

Billing Considerations

Consideration of the timing of delivery and maternal history of infection.

Pediatrics

Documentation Requirements

Thorough history and physical examination findings, including developmental assessments.

Common Clinical Scenarios

Follow-up visits for newborns with a history of chorioamnionitis.

Billing Considerations

Monitoring for long-term developmental outcomes related to early infection.

Coding Guidelines

Inclusion Criteria

Use P02.7 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of maternal and neonatal health status
  • Specific criteria for chorioamnionitis include clinical signs of infection and laboratory confirmation

Exclusion Criteria

Do NOT use P02.7 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 chorioamnionitis requiring close monitoring.

Documentation Requirements

Document clinical findings, assessments, and any interventions performed.

Specialty Considerations

Neonatologists should ensure comprehensive documentation of the newborn's condition.

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 related to chorioamnionitis.

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 related to chorioamnionitis.

Reimbursement & Billing Impact

reimbursement processes related to chorioamnionitis.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Guidelines for Perinatal Care

Coding & Billing References

  • •
    American Academy of Pediatrics - Guidelines for Perinatal Care

Frequently Asked Questions

What are the key signs of chorioamnionitis in newborns?

Key signs include temperature instability, lethargy, poor feeding, and respiratory distress. Early recognition is crucial for effective management.