2025 ICD-10-CM code P29.12
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Respiratory and cardiovascular disorders specific to the perinatal period - Neonatal cardiac dysrhythmia Certain conditions originating in the perinatal period (P00-P96) Feed
Neonatal bradycardia is a slow heart rate in a newborn.
Modifiers may be applicable depending on the circumstances of service delivery and the associated procedures performed. Consult current coding guidelines for appropriate modifier usage.
Medical necessity for coding P29.12 is established by the presence of symptomatic bradycardia in a newborn that requires medical intervention (e.g., medication, pacing, or resuscitation) to maintain adequate cardiac output and oxygenation. The documentation must support the clinical indication for the code.
Diagnosis and management of neonatal bradycardia fall under the responsibility of a neonatologist or pediatrician. This includes assessing the heart rate, identifying the underlying cause (e.g., hypoxia, metabolic disturbances, congenital heart block), implementing appropriate interventions (e.g., oxygen therapy, medications, pacing), and monitoring the newborn's response to treatment.
- Certain conditions originating in the perinatal period (P00-P96)
- P29: Cardiovascular disorders originating in the perinatal period
In simple words: Neonatal bradycardia means a newborn baby's heart beats too slowly. This is a problem that starts in the first 28 days of life. It needs to be checked by a doctor.
Neonatal bradycardia (P29.12) is an ICD-10-CM code representing a heart rate below the normal range for a newborn infant.This condition is characterized by a slow heart rhythm in the perinatal period (from birth to 28 days of life). It's crucial to differentiate neonatal bradycardia from congenital heart malformations (coded elsewhere).The diagnosis requires careful consideration of the newborn's clinical presentation, including symptoms, potential underlying causes, and response to treatment.Accurate documentation is essential for proper coding and reimbursement.
Example 1: A full-term newborn presents with a heart rate of 40 bpm immediately after birth.The infant is cyanotic and requires resuscitation. The diagnosis of neonatal bradycardia is made. , A premature infant born at 28 weeks gestational age is found to have a heart rate of 50 bpm during a routine examination.An ECG is performed confirming the bradycardia and further investigation into the underlying cause is initiated. , A newborn experiencing respiratory distress develops bradycardia as a complication. This is documented, along with the treatments, including supplemental oxygen and medications to address the underlying respiratory issue and bradycardia.
** Always ensure that the documentation supports the diagnosis of neonatal bradycardia and clearly differentiates it from other conditions, such as congenital heart defects.Review current coding guidelines for the most up-to-date information.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Specialties:Neonatology, Pediatrics, Cardiology
- Place of Service:Inpatient Hospital,Birthing Center,Neonatal Intensive Care Unit (NICU)