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v1.0.0
ICD-10 Guide
ICD-10 CodesP24.9

P24.9

Billable

Neonatal aspiration, unspecified

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

Code Description

ICD-10 P24.9 is a billable code used to indicate a diagnosis of neonatal aspiration, unspecified.

Key Diagnostic Point:

Neonatal aspiration syndrome refers to the inhalation of foreign material into the lungs, which can occur during or shortly after birth. This condition is often associated with meconium aspiration syndrome (MAS), where a newborn inhales a mixture of meconium and amniotic fluid into the lungs, leading to respiratory distress. Milk aspiration can also occur when infants inadvertently inhale milk during feeding, which may lead to aspiration pneumonia. The clinical presentation can vary from mild respiratory symptoms to severe respiratory failure, necessitating immediate medical intervention. Diagnosis typically involves clinical assessment, chest X-rays, and sometimes bronchoscopy to identify the aspirated material. Treatment may include supportive care, oxygen therapy, and in some cases, mechanical ventilation. The unspecified nature of this code indicates that the specific type of aspiration has not been documented, which can complicate treatment and management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of aspiration syndromes.
  • Differentiation between types of aspiration (meconium vs. milk).
  • Need for detailed documentation to specify the cause of aspiration.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the type of aspiration.
  • Failure to specify associated respiratory conditions.
  • Misclassification of aspiration type leading to incorrect coding.
  • Lack of clarity on the timing of aspiration relative to birth.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the infant's respiratory status, feeding history, and any interventions performed.

Common Clinical Scenarios

Infants presenting with respiratory distress shortly after birth, particularly in cases of meconium-stained amniotic fluid.

Billing Considerations

Accurate coding requires clear documentation of the type of aspiration and any associated complications.

Pediatrics

Documentation Requirements

Documentation should include feeding methods, any signs of respiratory distress, and follow-up care.

Common Clinical Scenarios

Pediatric patients with a history of aspiration during infancy presenting with recurrent respiratory issues.

Billing Considerations

Consideration of developmental milestones and ongoing respiratory assessments is crucial.

Coding Guidelines

Inclusion Criteria

Use P24.9 When
  • 10 guidelines emphasize the need for specificity in coding neonatal conditions
  • Coders should ensure that the documentation clearly indicates the type of aspiration and any associated respiratory conditions to avoid ambiguity

Exclusion Criteria

Do NOT use P24.9 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 documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding neonatal conditions, which can improve the accuracy of data collection and reimbursement processes. However, it also requires coders to be more diligent in ensuring that documentation supports the chosen codes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding neonatal conditions, which can improve the accuracy of data collection and reimbursement processes. However, it also requires coders to be more diligent in ensuring that documentation supports the chosen codes.

Reimbursement & Billing Impact

reimbursement processes. However, it also requires coders to be more diligent in ensuring that documentation supports the chosen codes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What should be documented to support the use of code P24.9?

Documentation should include the infant's respiratory status, feeding history, any interventions performed, and the clinical rationale for the diagnosis of aspiration. Clear notes on the timing of aspiration and any associated conditions are also essential.