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Code
Description

ICD-10-CM Code P00.9
Newborn (suspected to be) affected by unspecified maternal condition

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
Newborn Only
Code is only used for patients less than 1 year old.
| ICD-10 from 2011 - 2016

P00.9 is a billable ICD code used to specify a diagnosis of newborn (suspected to be) affected by unspecified maternal condition. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


MS-DRG Mapping

  • DRG Group #795 - Normal newborn.
  • DRG Group #794 - Neonate with other significant problems.

Coding Advice SNOMET-CT

  • Possible requirement for additional code to fully describe disease or condition
  • Consider additional code to identify specific condition or disease

ICD-10-CM Alphabetical Index References for 'P00.9 - Newborn (suspected to be) affected by unspecified maternal condition'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code P00.9. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Unspecified maternal condition affecting fetus or newborn (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 P00.9 and a single ICD9 code, 760.9 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

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/P009