2025 ICD-10-CM code P29
(Active) Effective Date: N/A Revision Date: N/A Perinatal Conditions - Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) Chapter XVI: Certain conditions originating in the perinatal period (P00-P96) Feed
Cardiovascular disorders originating in the perinatal period.
Modifiers may be applicable depending on the specific services provided and the circumstances of the care. Consult the appropriate coding guidelines for specific modifiers.
Medical necessity for coding P29 is established through the presence of clinical signs and symptoms consistent with cardiovascular dysfunction in the perinatal period. Diagnostic tests confirm the diagnosis and guide appropriate management.
The clinical responsibility for diagnosing and managing these conditions falls on neonatologists and pediatricians.Cardiologists may be consulted for complex cases.
In simple words: This code describes heart and blood vessel problems that start in a baby during or shortly after birth (up to 28 days).This includes things like heart failure, irregular heartbeats, high blood pressure, and other circulatory issues.
This code encompasses various cardiovascular problems arising in the newborn during the perinatal period (from birth to 28 days of life).It includes conditions such as neonatal cardiac failure, dysrhythmias, hypertension, persistent fetal circulation, and transient myocardial ischemia.It specifically excludes congenital malformations of the circulatory system (coded elsewhere).
Example 1: A newborn presents with cyanosis and respiratory distress shortly after birth.Further investigation reveals persistent fetal circulation (P29.3), requiring immediate medical intervention., A baby exhibits signs of heart failure (P29.0) in the first week of life, needing medication and close monitoring of cardiac function., A neonate develops transient myocardial ischemia (P29.4) following a period of perinatal hypoxia, presenting with subtle ECG changes that resolve without long-term sequelae.
Complete medical history including antenatal, perinatal, and neonatal data. Detailed physical examination findings focusing on cardiovascular system.Appropriate diagnostic tests (e.g., echocardiogram, EKG, cardiac catheterization, blood gases).Treatment plan and response to therapy.
** Always cross-reference with other relevant codes, particularly those describing underlying causes of the perinatal cardiovascular condition.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Neonatal Intensive Care Unit (NICU)