Newborn affected by maternal complications of 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
10 billable codes under P01: 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.-)
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 P01
P01 can't be used on a claim. Pick a billable code below; grey headings group them.
- P01.0Newborn affected by incompetent cervix
- P01.1Newborn affected by premature rupture of membranes
- P01.2Newborn affected by oligohydramnios
- P01.3Newborn affected by polyhydramnios
- P01.4Newborn affected by ectopic pregnancy
- P01.5Newborn affected by multiple pregnancy
- P01.6Newborn affected by maternal death
- P01.7Newborn affected by malpresentation before labor
- P01.8Newborn affected by other maternal complications of pregnancy
- P01.9Newborn affected by maternal complication of pregnancy, unspecified
P01 MS-DRG
As the principal diagnosis, all 10 billable codes under P01 group to MS-DRG 794 (v44.0).
Other codes that refer to P01
Notes on these codes point to P01.
- P00 Excludes2: newborn affected by maternal complications of pregnancy (P01.-)
Code 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 complications of pregnancy.