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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.1

P24.1

Billable

Neonatal aspiration of (clear) amniotic fluid and mucus

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

Code Description

ICD-10 P24.1 is a billable code used to indicate a diagnosis of neonatal aspiration of (clear) amniotic fluid and mucus.

Key Diagnostic Point:

Neonatal aspiration of clear amniotic fluid and mucus occurs when a newborn inhales a mixture of amniotic fluid and mucus during or shortly after delivery. This condition is often seen in infants born via cesarean section or those who experience a rapid delivery. The aspiration can lead to respiratory distress, characterized by difficulty breathing, cyanosis, and abnormal lung sounds. The presence of clear amniotic fluid typically indicates a lower risk of meconium aspiration syndrome, which occurs when a newborn inhales a mixture of meconium and amniotic fluid. Management of this condition may involve supportive care, including oxygen therapy and monitoring in a neonatal intensive care unit (NICU). It is crucial for healthcare providers to differentiate between aspiration syndromes to ensure appropriate treatment and coding. Accurate documentation of the newborn's respiratory status, the circumstances of delivery, and any interventions performed is essential for proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between clear amniotic fluid aspiration and meconium aspiration.
  • Variability in clinical presentation and severity of respiratory distress.
  • Need for detailed documentation of delivery circumstances.
  • Potential for co-occurring conditions requiring additional coding.

Audit Risk Factors

  • Inadequate documentation of the newborn's respiratory status.
  • Failure to specify the type of aspiration (clear vs. meconium).
  • Incorrect coding of associated respiratory conditions.
  • Lack of clarity in the delivery notes regarding the presence of meconium.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on respiratory assessment, interventions, and outcomes.

Common Clinical Scenarios

Infants requiring supplemental oxygen or NICU admission due to respiratory distress.

Billing Considerations

Monitoring for potential complications such as pneumonia or persistent pulmonary hypertension.

Pediatrics

Documentation Requirements

Comprehensive history including prenatal factors and delivery details.

Common Clinical Scenarios

Follow-up visits for respiratory issues stemming from aspiration.

Billing Considerations

Awareness of developmental milestones and potential long-term respiratory effects.

Coding Guidelines

Inclusion Criteria

Use P24.1 When
  • According to ICD
  • 10 guidelines, accurate coding for P24
  • 1 requires documentation of the type of aspiration, clinical presentation, and any treatments administered
  • Coders should ensure that all relevant details from the medical record are captured to support the diagnosis

Exclusion Criteria

Do NOT use P24.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

94640CPT Code

Pressurized inhalation treatment

Clinical Scenario

Used for infants with respiratory distress due to aspiration.

Documentation Requirements

Document the indication for treatment and response.

Specialty Considerations

Neonatologists should ensure that treatment aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better understanding the epidemiology of these conditions and enhances reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration syndromes, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better understanding the epidemiology of these conditions and enhances reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Frequently Asked Questions

What is the difference between aspiration of clear amniotic fluid and meconium aspiration?

Aspiration of clear amniotic fluid typically results in less severe respiratory distress compared to meconium aspiration, which can lead to significant complications due to the thick consistency of meconium. Accurate documentation of the type of fluid aspirated is crucial for proper coding and management.