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v1.0.0
ICD-10 Guide
ICD-10 CodesP83.2

P83.2

Billable

Hydrops fetalis not due to hemolytic disease

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

Code Description

ICD-10 P83.2 is a billable code used to indicate a diagnosis of hydrops fetalis not due to hemolytic disease.

Key Diagnostic Point:

Hydrops fetalis is a serious condition characterized by an abnormal accumulation of fluid in the fetal compartments, including the skin, pleural cavity, pericardial space, and abdominal cavity. This condition can arise from various non-hemolytic causes, such as congenital heart defects, chromosomal abnormalities, infections, or maternal conditions like diabetes or hypertension. The diagnosis is typically made via ultrasound, which reveals the presence of excess fluid. Management of hydrops fetalis involves addressing the underlying cause, monitoring the fetus closely, and preparing for potential delivery complications. In cases where hydrops is diagnosed, the prognosis can vary significantly based on the etiology, gestational age, and the presence of associated anomalies. Early intervention and a multidisciplinary approach are crucial for optimizing outcomes for affected newborns.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diverse etiologies requiring thorough investigation
  • Need for multidisciplinary collaboration in management
  • Potential for rapid clinical deterioration
  • Variability in prognosis based on underlying causes

Audit Risk Factors

  • Inadequate documentation of underlying causes
  • Failure to specify the type of hydrops
  • Misclassification of hydrops as hemolytic without proper evidence
  • Lack of detailed clinical notes on management and outcomes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of fetal monitoring, ultrasound findings, and interventions performed.

Common Clinical Scenarios

Management of a newborn presenting with respiratory distress due to pleural effusion secondary to hydrops.

Billing Considerations

Accurate coding requires clear documentation of the underlying cause and any associated anomalies.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including maternal health factors.

Common Clinical Scenarios

Follow-up care for a newborn diagnosed with congenital heart disease leading to hydrops.

Billing Considerations

Consideration of long-term outcomes and potential developmental follow-up needs.

Coding Guidelines

Inclusion Criteria

Use P83.2 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring specificity in documentation regarding the cause of hydrops and any associated conditions

Exclusion Criteria

Do NOT use P83.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the neonate

Clinical Scenario

Used for a newborn with hydrops requiring intensive monitoring and intervention.

Documentation Requirements

Detailed notes on the clinical status and interventions performed.

Specialty Considerations

Neonatologists should document all critical care services provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hydrops fetalis, improving the ability to capture the complexity of cases and the underlying causes, which is essential for appropriate reimbursement and quality of care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hydrops fetalis, improving the ability to capture the complexity of cases and the underlying causes, which is essential for appropriate reimbursement and quality of care.

Reimbursement & Billing Impact

reimbursement and quality of care.

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 hydrops fetalis not due to hemolytic disease?

Common causes include congenital heart defects, chromosomal abnormalities, infections such as TORCH, and maternal conditions like diabetes and hypertension.