Perinatal and Newborn

Codes Discussed: Z38 (Liveborn infants according to place of birth and type of delivery category), Z38.00 (Single liveborn infant, delivered vaginally), Z38.01 (Single liveborn infant, delivered by cesarean), Z38.1 (Single liveborn infant, born outside hospital), Z38.31 (Twin liveborn infant, delivered by cesarean), Z38.5 (Twin liveborn infant, born outside hospital), Z38.64 (Quadruplet liveborn infant, delivered by cesarean), P00.6 (Newborn affected by maternal surgical procedure), O00-O9A (Pregnancy, childbirth, and the puerperium maternal code range), Q00-Q99 (Congenital malformations, deformations, and chromosomal abnormalities), P22.1 (Transient tachypnea of newborn), P00-P04 (Newborn affected by maternal factors and complications of pregnancy, labor, and delivery), P04 (Newborn affected by noxious substances transmitted via placenta or breast milk category), P04.1 (Newborn affected by other maternal medication category), P04.16 (Newborn affected by maternal use of amphetamines), P04.4 (Newborn affected by maternal use of drugs of addiction category), P04.49 (Newborn affected by maternal use of other drugs of addiction), P04.8 (Newborn affected by other maternal noxious substances category), P04.2 (Newborn affected by maternal use of tobacco), P04.3 (Newborn affected by maternal use of alcohol), Q86.0 (Fetal alcohol syndrome), P05-P08 (Disorders of newborn related to length of gestation and fetal growth), P05 (Disorders of newborn related to slow fetal growth and fetal malnutrition), P05.10 (Newborn small for gestational age, unspecified weight), P07 (Disorders of newborn related to short gestation and low birth weight), P07.0 (Extremely low birth weight newborn category), P07.1 (Other low birth weight newborn category), P07.16 (Other low birth weight newborn, 1500-1749 grams), P07.18 (Other low birth weight newborn, 2000-2499 grams), P07.2 (Extreme immaturity category), P07.3 (Preterm newborn category), P07.32 (Preterm newborn, gestational age 29 completed weeks), P07.37 (Preterm newborn, gestational age 34 completed weeks), P09 (Abnormal findings on neonatal screening category), P10-P15 (Birth trauma code range), P10 (Intracranial laceration and hemorrhage due to birth injury category), P12.81 (Caput succedaneum), P13.4 (Fracture of clavicle due to birth injury), S42.002A (Fracture of unspecified part of left clavicle, initial encounter for closed fracture), P22.0 (Respiratory distress syndrome of newborn), P22.9 (Respiratory distress of newborn, unspecified), P24.9 (Neonatal aspiration, unspecified), P28.3 (Primary sleep apnea of newborn category), P28.4 (Other apnea of newborn category), P28.5 (Respiratory failure of newborn), P36 (Bacterial sepsis of newborn category), P36.2 (Sepsis of newborn due to Staphylococcus aureus), P36.9 (Bacterial sepsis of newborn, unspecified), P36.30 (Sepsis of newborn due to unspecified staphylococci), B96 (Other bacterial agents as the cause of diseases classified elsewhere), Z05.1 (Observation and evaluation of newborn for suspected infectious condition ruled out), Z05 (Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out category), R65.2 (Severe sepsis category), P02.70 (Newborn affected by fetal inflammatory response syndrome), P52 (Intracranial nontraumatic hemorrhage of newborn category), P52.3 (Unspecified intraventricular nontraumatic hemorrhage of newborn), P55 (Hemolytic disease of newborn category), P55.9 (Hemolytic disease of newborn, unspecified), P55.1 (ABO isoimmunization of newborn), P59.9 (Neonatal jaundice, unspecified), P59.0 (Neonatal jaundice associated with preterm delivery), P90 (Convulsions of newborn), R56.9 (Unspecified convulsions), G40.3 (Generalized idiopathic epilepsy and epileptic syndromes category), P92.0 (Vomiting of newborn), P92.9 (Feeding problem of newborn, unspecified), R63.3 (Feeding difficulties), P95 (Stillbirth), P96.1 (Neonatal withdrawal symptoms from maternal use of drugs of addiction), P96.2 (Withdrawal symptoms from therapeutic use of drugs in newborn), P96.81 (Exposure to environmental tobacco smoke in the perinatal period), Z77.22 (Contact with and suspected exposure to environmental tobacco smoke), R29.4 (Clicking hip), P76.0 (Meconium ileus), E84.11 (Meconium ileus in cystic fibrosis), E84.11 (Cystic fibrosis with meconium ileus), P70.2 (Neonatal diabetes mellitus), P04.41 (Newborn affected by maternal use of cocaine), Q35.9 (Cleft palate, unspecified), A41.9 (Sepsis, unspecified organism)

Topics Covered: ICD-10-CM perinatal coding, ICD-10-CM newborn coding, ICD-10-CM Chapter 16 coding, conditions originating in the perinatal period, P code reporting, newborn record coding, maternal record coding, birth admission coding, liveborn infant coding, Z38 principal diagnosis coding, place of birth coding, type of delivery coding, vaginal delivery newborn coding, cesarean delivery newborn coding, twin newborn coding, quadruplet newborn coding, birth outside hospital coding, Chapter 15 maternal codes, Chapter 17 congenital anomaly codes, Excludes1 notes, Excludes2 notes, birth process versus community-acquired condition coding, default code guideline, nonessential modifiers, transient tachypnea of newborn coding, additional newborn diagnosis criteria, newborn clinical significance, future healthcare needs coding, newborn affected by maternal factors, newborn affected by maternal complications, newborn affected by maternal medication, newborn affected by illicit drugs, newborn affected by maternal amphetamine use, newborn affected by crystal meth use, newborn affected by maternal cocaine use, newborn affected by maternal cannabis use, newborn affected by maternal alcohol use, newborn affected by maternal tobacco use, fetal alcohol syndrome distinction, disorders related to gestation length, slow fetal growth coding, fetal malnutrition coding, light for dates newborn coding, small for gestational age newborn coding, low birth weight newborn coding, extremely low birth weight newborn coding, preterm newborn coding, prematurity coding, gestational age sequencing, birth weight sequencing, abnormal neonatal screening coding, birth trauma coding, cerebral hemorrhage due to birth injury, subdural hemorrhage due to birth injury, tentorial hemorrhage due to birth injury, clavicle fracture due to birth injury, caput succedaneum coding, respiratory distress syndrome of newborn coding, neonatal respiratory distress coding, transient tachypnea of newborn, wet lung newborn coding, neonatal aspiration coding, meconium aspiration coding, meconium staining coding, fetal distress documentation, meconium ileus coding, cystic fibrosis with meconium ileus coding, apnea of newborn coding, apnea of prematurity coding, central apnea coding, obstructive apnea coding, mixed apnea coding, newborn respiratory failure coding, neonatal sepsis coding, congenital sepsis coding, community-acquired sepsis distinction, group B strep newborn sepsis, bacterial organism coding, suspected newborn sepsis ruled out, observation for suspected newborn condition, Z05 coding guidelines, severe sepsis of newborn coding, fetal inflammatory response syndrome coding, FIRS coding, chorioamnionitis-related newborn condition, nontraumatic intracranial hemorrhage of newborn, intraventricular hemorrhage of newborn, traumatic versus nontraumatic newborn hemorrhage, neonatal hemolytic disease coding, ABO isoimmunization coding, neonatal jaundice coding, jaundice of prematurity, bilirubin monitoring, bili light therapy, newborn convulsions coding, newborn seizure coding, newborn epilepsy documentation, feeding problems of newborn coding, slow feeding, underfeeding, breastfeeding difficulty, newborn vomiting, failure to thrive newborn coding, stillbirth coding, stillbirth record coding, neonatal abstinence syndrome coding, newborn withdrawal coding, withdrawal from maternal drug use, withdrawal from therapeutic drug use, neonatal exposure to secondhand smoke, perinatal tobacco smoke exposure, in-utero smoke exposure coding, environmental tobacco smoke exposure coding, hip click newborn coding, hip dysplasia follow-up, large for gestational age newborn coding, Apgar documentation, neonatal screening, NICU coding, mechanical ventilation newborn, IV antibiotics newborn, newborn transfer coding, Code Purple practice, Code Red assessment, newborn coding scenarios