2026 ICD-10-CM Diagnosis Code P24.81Other neonatal aspiration with respiratory symptoms

ICD-10-CM CodesP00–P96P19-P29P24

ICD-10-CM P24.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P24.81 is a billable ICD-10-CM diagnosis code for other neonatal aspiration with respiratory symptoms. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory perinatal condition.

Code Identity

ICD-10-CM Code
P24.81
Billable Status
Yes — Valid for Submission
Code Describes
Other neonatal aspiration with respiratory symptoms
Short Description
Other neonatal aspiration with respiratory symptoms
Same as the full description in the CMS dataset.
Parent Code
Other neonatal aspiration

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP19-P29Respiratory and cardiovascular disorders specific to the perinatal period
CategoryP24Neonatal aspiration
This CodeP24.81Other neonatal aspiration with respiratory symptoms

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute aspiration pneumonia
  • Acute aspiration pneumonitis
  • Aspirated gastric contents in lower respiratory tract
  • Aspiration of gastric contents into respiratory tract
  • Aspiration pneumonia
  • Aspiration pneumonia caused by regurgitated food
  • Aspiration pneumonitis
  • Aspiration pneumonitis caused by regurgitated food
  • Aspiration pneumonitis caused by regurgitated gastric secretions
  • Aspiration pneumonitis due to near drowning
  • Aspiration pneumonitis following procedure
  • Aspiration pneumonitis following surgical procedure
  • Massive aspiration syndrome
  • Neonatal aspiration pneumonia
  • Neonatal aspiration pneumonitis
  • Neonatal aspiration syndrome
  • Neonatal pneumonia
  • Pneumonitis caused by inhalation of milk
  • Pneumonitis caused by inhalation of regurgitated food
  • Pneumonitis caused by inhalation of vomitus
  • Pneumonitis due to foreign body
  • Pneumonitis due to inhaled liquid
  • Pulmonary aspiration
  • Pulmonary aspiration of fluid
  • Pulmonary aspiration of gastric contents
  • Recurrent aspiration pneumonia
  • Recurrent aspiration pneumonitis
  • Recurrent lower respiratory tract infection
  • Recurrent pneumonia

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Neonatal aspiration pneumonia NEC
  • Neonatal aspiration with pneumonitis NEC
  • Neonatal aspiration with pneumonia NOS
  • Neonatal aspiration with pneumonitis NOS

Use Additional Code

  • code to identify any secondary pulmonary hypertension, if applicable I27.2

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Aspiration
      • neonatal
        • specific NEC (without respiratory symptoms)
          • with
            • pneumonia (pneumonitis)
    • Aspiration
      • neonatal
        • specific NEC (without respiratory symptoms)
          • with
            • respiratory symptoms
    • Aspiration
      • newborn
        • specific NEC (without respiratory symptoms)
          • with
            • pneumonia (pneumonitis)
    • Aspiration
      • newborn
        • specific NEC (without respiratory symptoms)
          • with
            • respiratory symptoms
    • Aspiration
      • vernix caseosa (newborn)
        • with
          • pneumonia (pneumonitis)
    • Aspiration
      • vernix caseosa (newborn)
        • with
          • respiratory symptoms
    • Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
      • aspiration
        • newborn
    • Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
      • aspiration
        • newborn
          • specified NEC

Clinical ClassificationClinical

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

CCSR PNL006
Respiratory perinatal condition
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Neonatal Aspiration Syndrome

    aspiration of meconium, blood, amniotic fluid or gastric contents around the time of delivery resulting in clinical symptoms from airway obstruction, parenchymal injury, and ventilation-perfusion mismatch. this may lead to persistent pulmonary hypertension in the newborn.

Patient EducationClinical

Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease.

Read the full article at MedlinePlus

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

Convert P24.81 to ICD-9-CMHistory

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

ICD-9-CM
770.18 NB asp w resp symp NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P24.81Overview

Is P24.81 (Other neonatal aspiration) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other neonatal aspiration with respiratory symptoms on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P24.81?

Under the General Equivalence Mappings, other neonatal aspiration with respiratory symptoms converts to ICD-9-CM 770.18 (NB asp w resp symp NEC). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.