Newborn affected by maternal conditions that may be unrelated to present pregnancy
In Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-P04), chapter 16: Certain Conditions Originating in the Perinatal Period
12 billable codes under P00: none are a CC or MCC; none map to an HCC.
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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: code the underlying condition first, then this code
- any current condition in newborn
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.
- General Perinatal Rules (page 71)
- Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
- Coding Additional Perinatal Diagnoses (page 73)
- Prematurity and Fetal Growth Retardation (page 73)
- Low birth weight and immaturity status (page 74)
- Bacterial Sepsis of Newborn (page 74)
- Stillbirth (page 74)
- COVID-19 Infection in Newborn (page 74)
All codes under P00
P00 can't be used on a claim. Pick a billable code below; grey headings group them.
- P00.0Newborn affected by maternal hypertensive disorders
- P00.1Newborn affected by maternal renal and urinary tract diseases
- P00.2Newborn affected by maternal infectious and parasitic diseases
- P00.3Newborn affected by other maternal circulatory and respiratory diseases
- P00.4Newborn affected by maternal nutritional disorders
- P00.5Newborn affected by maternal injury
- P00.6Newborn affected by surgical procedure on mother
- P00.7Newborn affected by other medical procedures on mother, not elsewhere classified
- 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
- P00.89Newborn affected by other maternal conditions
- P00.9Newborn affected by unspecified maternal condition
P00 MS-DRGs
As the principal diagnosis, the billable codes under P00 group to MS-DRG 794, 795, or 951 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 794 Neonate with Other Significant Problems (7 of 12 codes)
- DRG 795 Normal Newborn (5 of 12 codes)
- DRG 951 Other Factors Influencing Health Status (3 of 12 codes)
Other codes that refer to P00
Notes on these codes point to P00.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Infant and Newborn Care
Going home with a new baby is exciting, but it can be scary, too. Newborns have many needs, like frequent feedings and diaper changes. Babies can have health issues that are different from older children and adults, like diaper rash and cradle cap.
Read more about infant and newborn care on MedlinePlusPostpartum Care
Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. : In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.
Read more about postpartum care on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015.
- FY2017: Title changed. It was: Newborn (suspected to be) affected by maternal conditions that may be unrelated to present pregnancy.