ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesP02.9

P02.9

Billable

Newborn affected by abnormality of membranes, unspecified

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

Code Description

ICD-10 P02.9 is a billable code used to indicate a diagnosis of newborn affected by abnormality of membranes, unspecified.

Key Diagnostic Point:

Newborns affected by abnormalities of membranes may present with various complications stemming from issues related to the placenta, umbilical cord, and membranes. Conditions such as placenta previa, where the placenta is abnormally positioned over the cervix, can lead to significant maternal and neonatal risks, including hemorrhage and preterm birth. Cord prolapse, where the umbilical cord slips ahead of the presenting part of the fetus, can compromise fetal oxygenation and necessitate immediate intervention. Chorioamnionitis, an infection of the membranes, can lead to preterm labor and increase the risk of neonatal sepsis. These complications can result in a range of outcomes for the newborn, from mild respiratory distress to severe neurological impairment, depending on the timing and nature of the intervention. Accurate coding of these conditions is crucial for appropriate management and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of conditions
  • Need for detailed documentation to support coding
  • Differentiation between similar codes related to membrane abnormalities
  • Potential for multiple co-existing conditions requiring careful coding

Audit Risk Factors

  • Inadequate documentation of maternal conditions affecting the newborn
  • Failure to specify the type of membrane abnormality
  • Misalignment between clinical findings and coded diagnoses
  • Inconsistent use of codes for similar conditions

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of the newborn's clinical status, interventions performed, and outcomes are essential. Documentation should include maternal history and any complications during labor.

Common Clinical Scenarios

Common scenarios include a newborn presenting with respiratory distress due to chorioamnionitis or requiring immediate resuscitation due to cord prolapse.

Billing Considerations

Neonatologists must ensure that all relevant maternal and neonatal factors are documented to support the coding process.

Pediatrics

Documentation Requirements

Pediatricians should document any ongoing effects of perinatal conditions on the child's health, including developmental assessments.

Common Clinical Scenarios

Pediatric scenarios may involve follow-up care for a child who experienced complications from membrane abnormalities at birth.

Billing Considerations

Consideration of long-term outcomes and developmental milestones is crucial for accurate coding and care planning.

Coding Guidelines

Inclusion Criteria

Use P02.9 When
  • Coders should refer to the official ICD
  • CM guidelines for perinatal coding, ensuring that all relevant clinical details are captured
  • Specific criteria for newborns affected by membrane abnormalities should be adhered to, including the need for clear documentation of maternal conditions

Exclusion Criteria

Do NOT use P02.9 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 affected by membrane abnormalities requires initial evaluation in the NICU.

Documentation Requirements

Documentation must include the newborn's clinical status and any interventions performed.

Specialty Considerations

Neonatologists should ensure that all relevant maternal and neonatal factors are documented.

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 diagnoses and facilitating better patient management. P02.9 reflects a need for precise documentation to avoid ambiguity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the accuracy of diagnoses and facilitating better patient management. P02.9 reflects a need for precise documentation to avoid ambiguity.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the accuracy of diagnoses and facilitating better patient management. P02.9 reflects a need for precise documentation to avoid ambiguity.

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 should be documented to support the use of code P02.9?

Documentation should include details of any maternal complications, the newborn's clinical presentation, and any interventions performed. Clear linkage between maternal and neonatal conditions is essential for accurate coding.