Newborn affected by other complications of labor and delivery
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 P03: 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 P03
P03 can't be used on a claim. Pick a billable code below; grey headings group them.
- P03.0Newborn affected by breech delivery and extraction
- P03.1Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
- P03.2Newborn affected by forceps delivery
- P03.3Newborn affected by delivery by vacuum extractor [ventouse]
- P03.4Newborn affected by Cesarean delivery
- P03.5Newborn affected by precipitate delivery
- P03.6Newborn affected by abnormal uterine contractions
- P03.8Newborn affected by other specified complications of labor and delivery
- P03.81Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm
- P03.810Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor
- P03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
- P03.819Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onset
- P03.82Meconium passage during delivery
- P03.89Newborn affected by other specified complications of labor and delivery
- P03.9Newborn affected by complication of labor and delivery, unspecified
P03 MS-DRGs
As the principal diagnosis, the billable codes under P03 group to MS-DRG 794, 795, 791, or 793 (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 (6 of 13 codes)
- DRG 795 Normal Newborn (6 of 13 codes)
- DRG 791 Prematurity with Major Problems (1 of 13 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 13 codes)
Other codes that refer to P03
Notes on these codes point to P03.
- P00.7 Excludes1: newborn affected by other complications of labor and delivery (P03.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read more about childbirth problems 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 other complications of labor and delivery.