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.
- 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 P02
P02 can't be used on a claim. Pick a billable code below; grey headings group them.
- P02.0Newborn affected by placenta previa
- P02.1Newborn affected by other forms of placental separation and hemorrhage
- 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
- P02.3Newborn affected by placental transfusion syndromes
- P02.4Newborn affected by prolapsed cord
- P02.5Newborn affected by other compression of 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
- P02.7Newborn affected by chorioamnionitis
- P02.70Newborn affected by fetal inflammatory response syndrome
- P02.78Newborn affected by other conditions from chorioamnionitis
- P02.8Newborn affected by other abnormalities of membranes
- P02.9Newborn affected by abnormality of membranes, unspecified
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.
- DRG 794 Neonate with Other Significant Problems (9 of 13 codes)
- DRG 795 Normal Newborn (4 of 13 codes)
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.
