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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.2

P24.2

Billable

Neonatal aspiration of blood

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

Code Description

ICD-10 P24.2 is a billable code used to indicate a diagnosis of neonatal aspiration of blood.

Key Diagnostic Point:

Neonatal aspiration of blood (ICD-10 code P24.2) refers to the condition where a newborn inhales blood into the lungs, which can occur during delivery or shortly after birth. This condition is often associated with traumatic deliveries, such as those involving fetal distress or the use of forceps. The aspiration of blood can lead to respiratory distress and may complicate the clinical picture, necessitating immediate medical intervention. In addition to blood, newborns may also experience aspiration syndromes related to meconium or milk. Meconium aspiration syndrome occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs, leading to airway obstruction and inflammation. Milk aspiration can occur when a newborn regurgitates or vomits milk, which can also lead to respiratory complications. The management of these conditions typically involves supportive care, including oxygen therapy and, in some cases, mechanical ventilation. Accurate coding is essential for proper treatment documentation and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between aspiration of blood and other types of aspiration (meconium, milk)
  • Understanding the clinical implications and management of aspiration syndromes
  • Documenting the circumstances of delivery that led to aspiration
  • Identifying associated conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of the delivery process leading to aspiration
  • Failure to specify the type of aspiration (blood vs. meconium vs. milk)
  • Misclassification of the severity of respiratory distress
  • Lack of follow-up documentation on the infant's condition post-aspiration

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the delivery process, immediate postnatal assessment, and any interventions performed.

Common Clinical Scenarios

Newborns presenting with respiratory distress shortly after birth, particularly following traumatic deliveries.

Billing Considerations

Ensure clarity in documentation regarding the type of aspiration and any associated conditions.

Pediatrics

Documentation Requirements

Comprehensive history and physical examination notes, including feeding history and any respiratory symptoms.

Common Clinical Scenarios

Pediatric follow-up visits for infants with a history of aspiration syndromes.

Billing Considerations

Consider the long-term implications of aspiration on respiratory health and development.

Coding Guidelines

Inclusion Criteria

Use P24.2 When
  • Follow the official ICD
  • CM guidelines for coding neonatal conditions, ensuring that all relevant clinical details are documented
  • Specific criteria for aspiration syndromes must be met, including the timing of aspiration and associated symptoms

Exclusion Criteria

Do NOT use P24.2 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 to therapy.

Specialty Considerations

Neonatologists should ensure that the rationale for treatment is clearly articulated.

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 conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal aspiration conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common causes of neonatal aspiration of blood?

Common causes include traumatic deliveries, such as those involving forceps or vacuum extraction, as well as conditions leading to fetal distress during labor.