P00-P04
Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
Block coding notes
Excludes 1 never together · Excludes 2 may co-exist
Note
These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
Codes in this block
84 codes
Billableusable codeNon-billableheader / grouping codeRisk-adjusting
- P00Newborn affected by maternal conditions that may be unrelated to present pregnancyNon-billable
- P00.0Newborn affected by maternal hypertensive disordersBillable
- P00.1Newborn affected by maternal renal and urinary tract diseasesBillable
- P00.2Newborn affected by maternal infectious and parasitic diseasesBillable
- P00.3Newborn affected by other maternal circulatory and respiratory diseasesBillable
- P00.4Newborn affected by maternal nutritional disordersBillable
- P00.5Newborn affected by maternal injuryBillable
- P00.6Newborn affected by surgical procedure on motherBillable
- P00.7Newborn affected by other medical procedures on mother, not elsewhere classifiedBillable
- P00.8Newborn affected by other maternal conditionsNon-billable
- P00.81Newborn affected by periodontal disease in motherBillable
- P00.82Newborn affected by (positive) maternal group B streptococcus (GBS) colonizationBillable
- P00.89Newborn affected by other maternal conditionsBillable
- P00.9Newborn affected by unspecified maternal conditionBillable
- P01Newborn affected by maternal complications of pregnancyNon-billable
- P01.0Newborn affected by incompetent cervixBillable
- P01.1Newborn affected by premature rupture of membranesBillable
- P01.2Newborn affected by oligohydramniosBillable
- P01.3Newborn affected by polyhydramniosBillable
- P01.4Newborn affected by ectopic pregnancyBillable
- P01.5Newborn affected by multiple pregnancyBillable
- P01.6Newborn affected by maternal deathBillable
- P01.7Newborn affected by malpresentation before laborBillable
- P01.8Newborn affected by other maternal complications of pregnancyBillable
- P01.9Newborn affected by maternal complication of pregnancy, unspecifiedBillable
- P02Newborn affected by complications of placenta, cord and membranesNon-billable
- P02.0Newborn affected by placenta previaBillable
- P02.1Newborn affected by other forms of placental separation and hemorrhageBillable
- P02.2Newborn affected by other and unspecified morphological and functional abnormalities of placentaNon-billable
- P02.20Newborn affected by unspecified morphological and functional abnormalities of placentaBillable
- P02.29Newborn affected by other morphological and functional abnormalities of placentaBillable
- P02.3Newborn affected by placental transfusion syndromesBillable
- P02.4Newborn affected by prolapsed cordBillable
- P02.5Newborn affected by other compression of umbilical cordBillable
- P02.6Newborn affected by other and unspecified conditions of umbilical cordNon-billable
- P02.60Newborn affected by unspecified conditions of umbilical cordBillable
- P02.69Newborn affected by other conditions of umbilical cordBillable
- P02.7Newborn affected by chorioamnionitisNon-billable
- P02.70Newborn affected by fetal inflammatory response syndromeBillable
- P02.78Newborn affected by other conditions from chorioamnionitisBillable
- P02.8Newborn affected by other abnormalities of membranesBillable
- P02.9Newborn affected by abnormality of membranes, unspecifiedBillable
- P03Newborn affected by other complications of labor and deliveryNon-billable
- P03.0Newborn affected by breech delivery and extractionBillable
- P03.1Newborn affected by other malpresentation, malposition and disproportion during labor and deliveryBillable
- P03.2Newborn affected by forceps deliveryBillable
- P03.3Newborn affected by delivery by vacuum extractor [ventouse]Billable
- P03.4Newborn affected by Cesarean deliveryBillable
- P03.5Newborn affected by precipitate deliveryBillable
- P03.6Newborn affected by abnormal uterine contractionsBillable
- P03.8Newborn affected by other specified complications of labor and deliveryNon-billable
- P03.81Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythmNon-billable
- P03.810Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of laborBillable
- P03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during laborBillable
- P03.819Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onsetBillable
- P03.82Meconium passage during deliveryBillable
- P03.89Newborn affected by other specified complications of labor and deliveryBillable
- P03.9Newborn affected by complication of labor and delivery, unspecifiedBillable
- P04Newborn affected by noxious substances transmitted via placenta or breast milkNon-billable
- P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryBillable
- P04.1Newborn affected by other maternal medicationNon-billable
- P04.11Newborn affected by maternal antineoplastic chemotherapyBillable
- P04.12Newborn affected by maternal cytotoxic drugsBillable
- P04.13Newborn affected by maternal use of anticonvulsantsBillable
- P04.14Newborn affected by maternal use of opiatesBillable
- P04.15Newborn affected by maternal use of antidepressantsBillable
- P04.16Newborn affected by maternal use of amphetaminesBillable
- P04.17Newborn affected by maternal use of sedative-hypnoticsBillable
- P04.18Newborn affected by other maternal medicationBillable
- P04.19Newborn affected by maternal use of unspecified medicationBillable
- P04.1ANewborn affected by maternal use of anxiolyticsBillable
- P04.2Newborn affected by maternal use of tobaccoBillable
- P04.3Newborn affected by maternal use of alcoholBillable
- P04.4Newborn affected by maternal use of drugs of addictionNon-billable
- P04.40Newborn affected by maternal use of unspecified drugs of addictionBillable
- P04.41Newborn affected by maternal use of cocaineBillable
- P04.42Newborn affected by maternal use of hallucinogensBillable
- P04.49Newborn affected by maternal use of other drugs of addictionBillable
- P04.5Newborn affected by maternal use of nutritional chemical substancesBillable
- P04.6Newborn affected by maternal exposure to environmental chemical substancesBillable
- P04.8Newborn affected by other maternal noxious substancesNon-billable
- P04.81Newborn affected by maternal use of cannabisBillable
- P04.89Newborn affected by other maternal noxious substancesBillable
- P04.9Newborn affected by maternal noxious substance, unspecifiedBillable
Official Guidelines for P00-P04
FY 2026 ›I.C.16Chapter-specific guidanceChapter 16: Certain Conditions Originating in the Perinatal Period
Subsections
- I.C.16.aGeneral Perinatal Rules
- I.C.16.bObservation and Evaluation of Newborns for Suspected
- I.C.16.cCoding Additional Perinatal Diagnoses
- I.C.16.dPrematurity and Fetal Growth Retardation
- I.C.16.eLow birth weight and immaturity status
- I.C.16.fBacterial Sepsis of Newborn
- I.C.16.gStillbirth
- I.C.16.hCOVID-19 Infection in Newborn