Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
P00Newborn affected by maternal conditions that may be unrelated to present pregnancy
Code First: any current condition in newborn
Excludes 2: encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
› newborn affected by maternal complications of pregnancy (P01.-)
› newborn affected by maternal endocrine and metabolic disorders (P70-P74)
› newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
P00.0Newborn affected by maternal hypertensive disorders
› Newborn affected by maternal conditions classifiable to O10-O11, O13-O16
P00.1Newborn affected by maternal renal and urinary tract diseases
› Newborn affected by maternal conditions classifiable to N00-N39
P00.2Newborn affected by maternal infectious and parasitic diseases
› Newborn affected by maternal infectious disease classifiable to A00-B99, J09 and J10
Excludes 1: maternal genital tract or other localized infections (P00.8)
Excludes 2: infections specific to the perinatal period (P35-P39)
› newborn affected by (positive) maternal group B streptococcus (GBS) colonization (P00.82)
P00.3Newborn affected by other maternal circulatory and respiratory diseases
› Newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
P00.4Newborn affected by maternal nutritional disorders
› Newborn affected by maternal disorders classifiable to E40-E64
› Maternal malnutrition NOS
P00.5Newborn affected by maternal injury
› Newborn affected by maternal conditions classifiable to O9A.2-
P00.6Newborn affected by surgical procedure on mother
› Newborn affected by amniocentesis
Excludes 1: Cesarean delivery for present delivery (P03.4)
› damage to placenta from amniocentesis, Cesarean delivery or surgical induction (P02.1)
› previous surgery to uterus or pelvic organs (P03.89)
Excludes 2: newborn affected by complication of (fetal) intrauterine procedure (P96.5)
P00.7Newborn affected by other medical procedures on mother, not elsewhere classified
› Newborn affected by radiation to mother
Excludes 1: damage to placenta from amniocentesis, cesarean delivery or surgical induction (P02.1)
› newborn affected by other complications of labor and delivery (P03.-)
P00.8Newborn affected by other maternal conditions
P00.81Newborn affected by periodontal disease in mother
P00.82Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
› Contact with positive maternal group B streptococcus
P00.89Newborn affected by other maternal conditions
› Newborn affected by conditions classifiable to T80-T88
› Newborn affected by maternal genital tract or other localized infections
› Newborn affected by maternal systemic lupus erythematosus
Use Additional Code: code to identify infectious agent, if known
Excludes 2: newborn affected by positive maternal group B streptococcus (GBS) colonization (P00.82)
P00.9Newborn affected by unspecified maternal condition
P01Newborn affected by maternal complications of pregnancy
Code First: any current condition in newborn
Excludes 2: encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
P01.0Newborn affected by incompetent cervix
P01.1Newborn affected by premature rupture of membranes
P01.2Newborn affected by oligohydramnios
Excludes 1: oligohydramnios due to premature rupture of membranes (P01.1)
P01.3Newborn affected by polyhydramnios
› Newborn affected by hydramnios
P01.4Newborn affected by ectopic pregnancy
› Newborn affected by abdominal pregnancy
P01.5Newborn affected by multiple pregnancy
› Newborn affected by triplet (pregnancy)
› Newborn affected by twin (pregnancy)
P01.6Newborn affected by maternal death
P01.7Newborn affected by malpresentation before labor
› Newborn affected by breech presentation before labor
› Newborn affected by external version before labor
› Newborn affected by face presentation before labor
› Newborn affected by transverse lie before labor
› Newborn affected by unstable lie before labor
P01.8Newborn affected by other maternal complications of pregnancy
P01.9Newborn affected by maternal complication of pregnancy, unspecified
P02Newborn affected by complications of placenta, cord and membranes
Code First: any current condition in newborn
Excludes 2: encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
P02.0Newborn affected by placenta previa
P02.1Newborn affected by other forms of placental separation and hemorrhage
› Newborn affected by abruptio placenta
› Newborn affected by accidental hemorrhage
› Newborn affected by antepartum hemorrhage
› Newborn affected by damage to placenta from amniocentesis, cesarean delivery or surgical induction
› Newborn affected by maternal blood loss
› Newborn affected by premature separation of placenta
P02.2Newborn affected by other and unspecified morphological and functional abnormalities of placenta
P02.20Newborn affected by unspecified morphological and functional abnormalities of placenta
P02.29Newborn affected by other morphological and functional abnormalities of placenta
› Newborn affected by placental dysfunction
› Newborn affected by placental infarction
› Newborn affected by placental insufficiency
P02.3Newborn affected by placental transfusion syndromes
› Newborn affected by placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
P02.4Newborn affected by prolapsed cord
P02.5Newborn affected by other compression of umbilical cord
› Newborn affected by umbilical cord (tightly) around neck
› Newborn affected by entanglement of umbilical cord
› Newborn affected by knot in umbilical cord
P02.6Newborn affected by other and unspecified conditions of umbilical cord
P02.60Newborn affected by unspecified conditions of umbilical cord
P02.69Newborn affected by other conditions of umbilical cord
› Newborn affected by short umbilical cord
› Newborn affected by vasa previa
Excludes 1: newborn affected by single umbilical artery (Q27.0)
P02.7Newborn affected by chorioamnionitis
P02.70Newborn affected by fetal inflammatory response syndrome
› Newborn affected by FIRS
P02.78Newborn affected by other conditions from chorioamnionitis
› Newborn affected by amnionitis
› Newborn affected by membranitis
› Newborn affected by placentitis
P02.8Newborn affected by other abnormalities of membranes
P02.9Newborn affected by abnormality of membranes, unspecified
P03Newborn affected by other complications of labor and delivery
Code First: any current condition in newborn
Excludes 2: encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
P03.0Newborn affected by breech delivery and extraction
P03.1Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
› Newborn affected by contracted pelvis
› Newborn affected by conditions classifiable to O64-O66
› Newborn affected by persistent occipitoposterior
› Newborn affected by transverse lie
P03.2Newborn affected by forceps delivery
P03.3Newborn affected by delivery by vacuum extractor [ventouse]
P03.4Newborn affected by Cesarean delivery
P03.5Newborn affected by precipitate delivery
› Newborn affected by rapid second stage
P03.6Newborn affected by abnormal uterine contractions
› Newborn affected by conditions classifiable to O62.-, except O62.3
› Newborn affected by hypertonic labor
› Newborn affected by uterine inertia
P03.8Newborn affected by other specified complications of labor and delivery
P03.81Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm
Excludes 1: neonatal cardiac dysrhythmia (P29.1-)
P03.810Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor
P03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
P03.819Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onset
P03.82Meconium passage during delivery
Excludes 1: meconium aspiration (P24.00, P24.01)
› meconium staining (P96.83)
P03.89Newborn affected by other specified complications of labor and delivery
› Newborn affected by abnormality of maternal soft tissues
› Newborn affected by conditions classifiable to O60-O75 and by procedures used in labor and delivery not included in P02.- and P03.0-P03.6
› Newborn affected by induction of labor
P03.9Newborn affected by complication of labor and delivery, unspecified
P04Newborn affected by noxious substances transmitted via placenta or breast milk
Includes: nonteratogenic effects of substances transmitted via placenta
Code First: any current condition in newborn, if applicable
Excludes 2: congenital malformations (Q00-Q99)
› encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
› neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
› newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
› Newborn affected by reactions and intoxications from maternal opiates and tranquilizers administered for procedures during pregnancy or labor and delivery
Excludes 2: newborn affected by other maternal medication (P04.1-)
P04.1Newborn affected by other maternal medication
Code First: , if applicable, withdrawal symptoms from maternal use of drugs of addiction (P96.1)
› withdrawal symptoms from therapeutic use of drugs in newborn (P96.2)
Excludes 1: dysmorphism due to warfarin (Q86.2)
› fetal hydantoin syndrome (Q86.1)
Excludes 2: maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)
› maternal use of drugs of addiction (P04.4-)
P04.11Newborn affected by maternal antineoplastic chemotherapy
P04.12Newborn affected by maternal cytotoxic drugs
P04.13Newborn affected by maternal use of anticonvulsants
P04.14Newborn affected by maternal use of opiates
P04.15Newborn affected by maternal use of antidepressants
P04.16Newborn affected by maternal use of amphetamines
P04.17Newborn affected by maternal use of sedative-hypnotics
P04.1ANewborn affected by maternal use of anxiolytics
P04.18Newborn affected by other maternal medication
P04.19Newborn affected by maternal use of unspecified medication
P04.2Newborn affected by maternal use of tobacco
› Newborn affected by exposure in utero to tobacco smoke
Excludes 2: newborn exposure to environmental tobacco smoke (P96.81)
P04.3Newborn affected by maternal use of alcohol
Excludes 1: fetal alcohol syndrome (Q86.0)
P04.4Newborn affected by maternal use of drugs of addiction
P04.40Newborn affected by maternal use of unspecified drugs of addiction
P04.41Newborn affected by maternal use of cocaine
P04.42Newborn affected by maternal use of hallucinogens
Excludes 2: newborn affected by other maternal medication (P04.1-)
P04.49Newborn affected by maternal use of other drugs of addiction
Excludes 2: newborn affected by maternal anesthesia and analgesia (P04.0)
› withdrawal symptoms from maternal use of drugs of addiction (P96.1)
P04.5Newborn affected by maternal use of nutritional chemical substances
P04.6Newborn affected by maternal exposure to environmental chemical substances
P04.8Newborn affected by other maternal noxious substances
P04.81Newborn affected by maternal use of cannabis
P04.89Newborn affected by other maternal noxious substances
P04.9Newborn affected by maternal noxious substance, unspecified