2025 ICD-10-CM code P96.81
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Other specified conditions originating in the perinatal period Certain conditions originating in the perinatal period (P00-P96) Feed
Exposure to parental or environmental tobacco smoke during the perinatal period.
Medical necessity is established by the documentation supporting the diagnosis of perinatal exposure to tobacco smoke.The clinical documentation must be sufficient to demonstrate the exposure and any resulting health consequences for the newborn.
The clinical responsibility for coding P96.81 rests with the physician or healthcare professional documenting the newborn's exposure to secondhand smoke. They should carefully record details of the exposure in the patient's chart to support accurate coding.
- Certain conditions originating in the perinatal period (P00-P96)
- P96 - Other conditions originating in the perinatal period
In simple words: This code describes a baby's exposure to secondhand smoke before or shortly after birth.This exposure can come from parents smoking or from other sources of smoke in the baby's environment.
This code is used to classify instances of perinatal exposure to tobacco smoke from either parental sources or the environment.It encompasses exposure during the period from before birth to the first 28 days after birth. This code should only be used for newborn records and not for maternal records.It excludes congenital malformations, deformations, chromosomal abnormalities, endocrine, nutritional, and metabolic diseases, injuries, poisonings, neoplasms, and tetanus neonatorum.
Example 1: A newborn is admitted to the NICU with respiratory distress.The mother admits to smoking during her pregnancy, and the newborn shows signs of passive smoking exposure.Code P96.81 would be used in addition to codes for respiratory distress., A mother who smokes is given advice on quitting and her newborn shows no ill effects from environmental tobacco exposure.The physician codes P96.81 in this instance along with any relevant preventive medicine codes. This is especially applicable for low-income families where cessation programs are available., A newborn is born to parents who are both heavy smokers; the newborn presents with symptoms consistent with exposure to environmental tobacco smoke during the perinatal period, but no other specific diagnosis is made.Code P96.81 alone is applied in this instance.
Detailed documentation should include the source of the tobacco smoke (maternal, paternal, environmental), frequency and duration of exposure, and any observed effects on the newborn.Any interventions implemented to minimize exposure should also be noted.
** This code is crucial for tracking the prevalence of perinatal exposure to tobacco smoke and its impact on newborn health.Public health initiatives often use data associated with this code for program development and resource allocation.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Obstetrics, Family Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center