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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.70

P02.70

Billable

Newborn affected by fetal inflammatory response syndrome

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

Code Description

ICD-10 P02.70 is a billable code used to indicate a diagnosis of newborn affected by fetal inflammatory response syndrome.

Key Diagnostic Point:

Fetal inflammatory response syndrome (FIRS) is a condition that arises when the fetus experiences an inflammatory response due to maternal or placental infection, often linked to conditions such as chorioamnionitis. This syndrome can lead to significant neonatal complications, including respiratory distress, sepsis, and neurological impairment. The inflammatory response may be triggered by complications involving the placenta, umbilical cord, or membranes, such as placenta previa, cord prolapse, or chorioamnionitis. In cases of chorioamnionitis, the infection can ascend from the lower genital tract, leading to inflammation of the fetal membranes and potentially affecting the fetus's health. Newborns affected by FIRS may present with clinical signs such as fever, irritability, and feeding intolerance, necessitating close monitoring and intervention in a neonatal intensive care unit (NICU). Accurate coding of this condition is crucial for appropriate management and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between various inflammatory responses and their causes.
  • Understanding the implications of maternal conditions on fetal health.
  • Identifying associated complications that may arise from FIRS.
  • Navigating the nuances of coding related to placental and membrane complications.

Audit Risk Factors

  • Inaccurate documentation of maternal infections.
  • Failure to link the inflammatory response to specific complications.
  • Misclassification of the severity of the newborn's condition.
  • Inadequate detail in clinical notes regarding the inflammatory response.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed clinical notes on the newborn's condition, including vital signs, laboratory results, and treatment plans.

Common Clinical Scenarios

Newborns presenting with respiratory distress and signs of infection in the NICU.

Billing Considerations

Ensure that all maternal complications are documented to support the diagnosis.

Pediatrics

Documentation Requirements

Comprehensive history of perinatal events and ongoing assessments of the newborn's health.

Common Clinical Scenarios

Follow-up visits for newborns with a history of FIRS and associated complications.

Billing Considerations

Consider the long-term implications of FIRS on pediatric development.

Coding Guidelines

Inclusion Criteria

Use P02.70 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and that all relevant maternal and fetal conditions are captured

Exclusion Criteria

Do NOT use P02.70 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 with FIRS is evaluated in the NICU.

Documentation Requirements

Document the newborn's clinical status, including any signs of infection or inflammatory response.

Specialty Considerations

Neonatologists should ensure that all relevant clinical findings are recorded.

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 complexities of FIRS and its associated complications.

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 complexities of FIRS and its associated complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the complexities of FIRS and its associated complications.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What are the key indicators for coding P02.70?

Key indicators include maternal history of infection, clinical signs of inflammation in the newborn, and laboratory findings that support the diagnosis of fetal inflammatory response syndrome.