P19-P29Not billable, use a more specific code below
Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)
chapter 16: Certain Conditions Originating in the Perinatal Period
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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 P19-P29
P19-P29 can't be used on a claim. Pick a billable code below; grey headings group them.
- P19Metabolic acidemia in newborn
- P19.0Metabolic acidemia in newborn first noted before onset of labor
- P19.1Metabolic acidemia in newborn first noted during labor
- P19.2Metabolic acidemia noted at birth
- P19.9Metabolic acidemia in newborn, unspecified
- P22Respiratory distress of newborn
- P22.0Respiratory distress syndrome of newborn
- P22.1Transient tachypnea of newborn
- P22.8Other respiratory distress of newborn
- P22.9Respiratory distress of newborn, unspecified
- P23Congenital pneumonia
- P23.0Congenital pneumonia due to viral agent
- P23.1Congenital pneumonia due to Chlamydia
- P23.2Congenital pneumonia due to staphylococcus
- P23.3Congenital pneumonia due to streptococcus, group B
- P23.4Congenital pneumonia due to Escherichia coli
- P23.5Congenital pneumonia due to Pseudomonas
- P23.6Congenital pneumonia due to other bacterial agents
- P23.8Congenital pneumonia due to other organisms
- P23.9Congenital pneumonia, unspecified
- P24Neonatal aspiration
- P24.0Meconium aspiration
- P24.00Meconium aspiration without respiratory symptoms
- P24.01Meconium aspiration with respiratory symptoms
- P24.1Neonatal aspiration of (clear) amniotic fluid and mucus
- P24.10Neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms
- P24.11Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
- P24.2Neonatal aspiration of blood
- P24.20Neonatal aspiration of blood without respiratory symptoms
- P24.21Neonatal aspiration of blood with respiratory symptoms
- P24.3Neonatal aspiration of milk and regurgitated food
- P24.30Neonatal aspiration of milk and regurgitated food without respiratory symptoms
- P24.31Neonatal aspiration of milk and regurgitated food with respiratory symptoms
- P24.8Other neonatal aspiration
- P24.80Other neonatal aspiration without respiratory symptoms
- P24.81Other neonatal aspiration with respiratory symptoms
- P24.9Neonatal aspiration, unspecified
- P25Interstitial emphysema and related conditions originating in the perinatal period
- P25.0Interstitial emphysema originating in the perinatal period
- P25.1Pneumothorax originating in the perinatal period
- P25.2Pneumomediastinum originating in the perinatal period
- P25.3Pneumopericardium originating in the perinatal period
- P25.8Other conditions related to interstitial emphysema originating in the perinatal period
- P26Pulmonary hemorrhage originating in the perinatal period
- P26.0Tracheobronchial hemorrhage originating in the perinatal period
- P26.1Massive pulmonary hemorrhage originating in the perinatal period
- P26.8Other pulmonary hemorrhages originating in the perinatal period
- P26.9Unspecified pulmonary hemorrhage originating in the perinatal period
- P27Chronic respiratory disease originating in the perinatal period
- P27.0Wilson-Mikity syndrome
- P27.1Bronchopulmonary dysplasia originating in the perinatal period
- P27.8Other chronic respiratory diseases originating in the perinatal period
- P27.9Unspecified chronic respiratory disease originating in the perinatal period
- P28Other respiratory conditions originating in the perinatal period
- P28.0Primary atelectasis of newborn
- P28.1Other and unspecified atelectasis of newborn
- P28.10Unspecified atelectasis of newborn
- P28.11Resorption atelectasis without respiratory distress syndrome
- P28.19Other atelectasis of newborn
- P28.2Cyanotic attacks of newborn
- P28.3Primary sleep apnea of newborn
- P28.30Primary sleep apnea of newborn, unspecified
- P28.31Primary central sleep apnea of newborn
- P28.32Primary obstructive sleep apnea of newborn
- P28.33Primary mixed sleep apnea of newborn
- P28.39Other primary sleep apnea of newborn
- P28.4Other apnea of newborn
- P28.40Unspecified apnea of newborn
- P28.41Central neonatal apnea of newborn
- P28.42Obstructive apnea of newborn
- P28.43Mixed neonatal apnea of newborn
- P28.49Other apnea of newborn
- P28.5Respiratory failure of newborn
- P28.8Other specified respiratory conditions of newborn
- P28.81Respiratory arrest of newborn
- P28.89Other specified respiratory conditions of newborn
- P28.9Respiratory condition of newborn, unspecified
- P29Cardiovascular disorders originating in the perinatal period
- P29.0Neonatal cardiac failure
- P29.1Neonatal cardiac dysrhythmia
- P29.11Neonatal tachycardia
- P29.12Neonatal bradycardia
- P29.2Neonatal hypertension
- P29.3Persistent fetal circulation
- P29.30Pulmonary hypertension of newborn
- P29.38Other persistent fetal circulation
- P29.4Transient myocardial ischemia in newborn
- P29.8Other cardiovascular disorders originating in the perinatal period
- P29.81Cardiac arrest of newborn
- P29.89Other cardiovascular disorders originating in the perinatal period
- P29.9Cardiovascular disorder originating in the perinatal period, unspecified
P19-P29 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Metabolic Disorders
Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.
Read more about metabolic disorders on MedlinePlusUncommon Infant and Newborn Problems
It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.
Read more about uncommon infant and newborn problems on MedlinePlus