P02Not billable, use a more specific code below

Newborn affected by complications of placenta, cord and membranes

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

13 billable codes under P02: none are a CC or MCC; 1 map to HCC 2 (Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock).An HCC counts toward a Medicare Advantage patient's risk score.

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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.

Read Section I.C.16 (page 71)

P02 MS-DRGs

As the principal diagnosis, the billable codes under P02 group to MS-DRG 794 or 795 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to P02

Notes on these codes point to P02.

  • P03.89 Includes: 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

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 complications of placenta, cord and membranes.