2025 ICD-10-CM code P01
Newborn affected by maternal complications of pregnancy. Code first any current condition in newborn.
Medical necessity is established by the presence of a documented maternal complication and a resulting condition in the newborn requiring medical care.
The responsibility for diagnosing and documenting this code falls on the provider caring for the newborn, typically a pediatrician or neonatologist. They should document the specific maternal complication and its impact on the newborn.
- XVI Certain conditions originating in the perinatal period
- P00-P04 Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
In simple words: This code indicates that the baby was affected by a problem the mother had during pregnancy.
This code is used for newborns affected by complications experienced by the mother during pregnancy.It is important to also code the specific condition in the newborn that resulted from the maternal complication.
Example 1: A pregnant woman with pre-eclampsia gives birth to a newborn with low birth weight.P01 would be used, along with the code for low birth weight (P07.0x)., A pregnant woman with gestational diabetes gives birth to a macrosomic infant. P01 would be coded along with the code for macrosomia (P08.1)., A pregnant woman with premature rupture of membranes delivers a newborn with respiratory distress. P01 and the appropriate respiratory distress code (e.g., P22.0) would be used.
Documentation should clearly link the maternal complication to the newborn's condition. It should specify the maternal condition, the newborn's affected condition, and any treatment provided.
- Specialties:Pediatrics, Neonatology
- Place of Service:Inpatient Hospital, Birthing Center