P00

Non-Billable
ChapterP00–P96
Rankcategory
Official Description

Newborn affected by maternal conditions that may be unrelated to present pregnancy

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

CH16 Parent Instructions

Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes2(Not included here. Code separately if applicable.)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • 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.-)
Code First
  • any current condition in newborn

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04)
P00Newborn affected by maternal conditions that may be unrelated to present pregnancyNot billable
P00.0Newborn affected by maternal hypertensive disordersBillable
P00.1Newborn affected by maternal renal and urinary tract diseasesBillable
P00.2Newborn affected by maternal infectious and parasitic diseasesBillable
P00.3Newborn affected by other maternal circulatory and respiratory diseasesBillable
P00.4Newborn affected by maternal nutritional disordersBillable
P00.5Newborn affected by maternal injuryBillable
P00.6Newborn affected by surgical procedure on motherBillable
P00.7Newborn affected by other medical procedures on mother, not elsewhere classifiedBillable
P00.8Newborn affected by other maternal conditionsSubcodes
P00.9Newborn affected by unspecified maternal conditionBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P00:

chapterCH16
Certain conditions originating in the perinatal period (P00-P96)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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