ICD-10-CM Code P00.6
Newborn (suspected to be) affected by surgical procedure on mother

BILLABLE

Billable Code

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

POA Exempt

POA Exempt Code

The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.

Newborn Only

Code is only used for patients less than 1 year old.

| ICD-10 from 2011 - 2016

P00.6 is a billable ICD code used to specify a diagnosis of newborn (suspected to be) affected by surgical procedure on mother. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

Indicator	Meaning	CMS Will Pay CC/MCC DRG Costs
Y	Diagnosis was present at time of inpatient admission	Yes
N	Diagnosis was not present at time of inpatient admission	No
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	No
W	Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.	Yes
1	Exempt from POA reporting	No

Coding Notes for P00.6 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms: Inclusion Terms Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.: Newborn (suspected to be) affected by amniocentesis

Code Type-1 Excludes: Type-1 Excludes Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here.": Cesarean delivery for present delivery - instead, use code P03.4; Damage to placenta from amniocentesis, Cesarean delivery or surgical induction - instead, use code P02.1; Previous surgery to uterus or pelvic organs - instead, use code P03.89

Code Type-2 Excludes: Type-2 Excludes Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here.": Newborn affected by complication of (fetal) intrauterine procedure - instead, use code P96.5

MS-DRG Mapping

DRG Group #794 - Neonate with other significant problems.

Coding Advice SNOMET-CT

Possible requirement for additional code to fully describe disease or condition

ICD-10-CM Alphabetical Index References for 'P00.6 - Newborn (suspected to be) affected by surgical procedure on mother'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code P00.6. Click on any term below to browse the alphabetical index.

Newborn(infant) (liveborn) (singleton) +

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

760.63

Newborn affected by other surgical operations on mother during pregnancy (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code P00.6 and a single ICD9 code, 760.63 is an approximate match for comparison and conversion purposes.

Parent Code: P00 - Newborn (suspected to be) affected by maternal conditions that may be unrelated to present pregnancy

Code Navigator: ICD

ICD-10-CM Code P00.6 Newborn (suspected to be) affected by surgical procedure on mother