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v1.0.0
ICD-10 Guide
ICD-10 CodesP02.78

P02.78

Billable

Newborn affected by other conditions from chorioamnionitis

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

Code Description

ICD-10 P02.78 is a billable code used to indicate a diagnosis of newborn affected by other conditions from chorioamnionitis.

Key Diagnostic Point:

Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) that can lead to significant complications for the newborn. When a newborn is affected by chorioamnionitis, they may present with a variety of clinical manifestations, including respiratory distress, sepsis, and neurological impairment. The condition is often associated with other complications related to the placenta, umbilical cord, and membranes, such as placenta previa and cord prolapse. Newborns affected by these conditions may require intensive monitoring and intervention in a neonatal intensive care unit (NICU) setting. The presence of chorioamnionitis can lead to premature rupture of membranes, which increases the risk of infection and can complicate delivery. Clinicians must be vigilant in assessing the newborn for signs of infection and other complications, as timely intervention is critical for improving outcomes. The coding of this condition requires a thorough understanding of the clinical context and associated complications to ensure accurate representation of the newborn's health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various complications arising from chorioamnionitis.
  • Understanding the interplay between maternal and neonatal conditions.
  • Accurate documentation of clinical findings and interventions.
  • Variability in clinical presentation among affected newborns.

Audit Risk Factors

  • Inadequate documentation of maternal history and delivery complications.
  • Failure to capture all associated conditions affecting the newborn.
  • Misclassification of the severity of the newborn's condition.
  • Inconsistent coding practices among different healthcare providers.

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, signs of infection, or neurological symptoms following chorioamnionitis.

Billing Considerations

Close monitoring for signs of sepsis and other complications, as well as the need for potential interventions such as antibiotics or respiratory support.

Pediatrics

Documentation Requirements

Comprehensive documentation of the newborn's health status, including follow-up assessments and developmental milestones.

Common Clinical Scenarios

Pediatric evaluations of newborns with a history of chorioamnionitis, focusing on growth and development.

Billing Considerations

Awareness of long-term outcomes associated with chorioamnionitis and the need for ongoing monitoring.

Coding Guidelines

Inclusion Criteria

Use P02.78 When
  • According to ICD
  • 10 coding guidelines, P02
  • 78 should be used when a newborn is affected by conditions stemming from chorioamnionitis
  • Coders must ensure that documentation supports the diagnosis and reflects the clinical significance of the condition

Exclusion Criteria

Do NOT use P02.78 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 initial assessment of a newborn affected by chorioamnionitis in the NICU.

Documentation Requirements

Documentation of the newborn's clinical status, including vital signs and any interventions.

Specialty Considerations

Neonatologists should ensure comprehensive documentation to support the complexity of care provided.

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 those related to chorioamnionitis. This specificity aids in better tracking of outcomes and resource utilization in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including those related to chorioamnionitis. This specificity aids in better tracking of outcomes and resource utilization in neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, including those related to chorioamnionitis. This specificity aids in better tracking of outcomes and resource utilization in neonatal care.

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 documentation requirements for coding P02.78?

Key documentation requirements include a detailed account of the newborn's clinical presentation, any signs of infection, treatment provided, and follow-up assessments. It is essential to document the maternal history of chorioamnionitis and any complications that arise during the newborn's care.