2027 ICD-10-CM Diagnosis Code P03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor

ICD-10-CM Codes›P00–P96›P00-P04›P03

ICD-10-CM P03.811
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P03.811 is a billable ICD-10-CM diagnosis code for newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. Coders also document this condition as abnormal fetal heart beat first noted during labor AND/OR delivery in liveborn infant. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Newborn affected by maternal conditions or complications of labor/delivery.

Code Identity

ICD-10-CM Code
P03.811
Billable Status
Yes — Valid for Submission
Code Describes
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
Short Description
NB aff by abnlt in fetal heart rate or rhythm during labor
Parent Code
P03.81
Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP00-P04Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
CategoryP03Newborn affected by other complications of labor and delivery
This CodeP03.811Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal fetal heart beat first noted during labor AND/OR delivery in liveborn infant
  • Liveborn with labor abnormal heart beat
  • Liveborn with labor fetal distress
  • Perinatal cardiovascular disorders

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P03.811: its own notes plus those printed at P03.81, P03, block P00-P04, and Chapter 16. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From P03.81 Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm applies to 3 codes
  • neonatal cardiac dysrhythmia (P29.1-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From P03 Newborn affected by other complications of labor and delivery applies to 13 codes
  • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Code First

The underlying condition named in the note is sequenced before this code.

From P03 Newborn affected by other complications of labor and delivery applies to 13 codes
  • any current condition in newborn

Notes

General instructions on how these codes are used.

From Block P00-P04 Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery applies to 70 codes
  • These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • Codes from this chapter are for use on newborn records only, never on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name P03.811, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming P03.811: they are not reported together with it, unless the two conditions are unrelated.

  • P00.7 Newborn affected by other medical procedures on mother, not elsewhere classified
    newborn affected by other complications of labor and delivery (P03.-) names P03.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL010
Newborn affected by maternal conditions or complications of labor/delivery
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P03.811 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
763.82 Ab ftl hrt rt/rh dur lab
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P03.811Overview

Is P03.811 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P03.811 group to?

When newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor is the principal diagnosis on an inpatient stay, it groups to MS-DRG 794 (neonate with Other Significant Problems), which carries a relative weight of 1.4934. Higher weights mean higher Medicare reimbursement.

Can P03.811 be reported with a code from P29.1?

Not as a rule. The Excludes1 note at P03.81, which applies to P03.811, lists "neonatal cardiac dysrhythmia (P29.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is coded first with P03.811?

The Code First note at P03, which applies to P03.811, reads: any current condition in newborn. When one of these applies, it is sequenced before P03.811.

What is the ICD-9 equivalent of P03.811?

Under the General Equivalence Mappings, newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor converts to ICD-9-CM 763.82 (ab ftl hrt rt/rh dur lab). The mapping is a direct match.