2027 ICD-10-CM Diagnosis Code P29.38Other persistent fetal circulation

ICD-10-CM Codes›P00–P96›P19-P29›P29

ICD-10-CM P29.38
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P29.38 is a billable ICD-10-CM diagnosis code for other persistent fetal circulation. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 12 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified perinatal conditions.

Code Identity

ICD-10-CM Code
P29.38
Billable Status
Yes — Valid for Submission
Code Describes
Other persistent fetal circulation
Short Description
Other persistent fetal circulation
Same as the full description in the CMS dataset.
Parent Code
P29.3
Persistent fetal circulation

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP19-P29Respiratory and cardiovascular disorders specific to the perinatal period
CategoryP29Cardiovascular disorders originating in the perinatal period
This CodeP29.38Other persistent fetal circulation

Present on Admission (POA)Billing

P29.38 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P29.38: its own notes plus those printed at P29 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

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Delayed closure of ductus arteriosus

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 P29 Cardiovascular disorders originating in the perinatal period applies to 10 codes
  • congenital malformations of the circulatory system (Q20-Q28)
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)

Notes

General instructions on how these codes are used.

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.

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 PNL013
Other specified and unspecified perinatal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Persistent Fetal Circulation Syndrome

    a syndrome of persistent pulmonary hypertension in the newborn infant (infant, newborn) without demonstrable heart diseases. this neonatal condition can be caused by severe pulmonary vasoconstriction (reactive type), hypertrophy of pulmonary arterial muscle (hypertrophic type), or abnormally developed pulmonary arterioles (hypoplastic type). the newborn patient exhibits cyanosis and acidosis due to the persistence of fetal circulatory pattern of right-to-left shunting of blood through a patent ductus arteriosus (ductus arteriosus, patent) and at times a patent foramen ovale (foramen ovale, patent).

Convert P29.38 to ICD-9-CMHistory

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

ICD-9-CM
747.83 Persistent fetal circ
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement P29.38 replaces the following previously assigned code(s):

  • P29.3 - Persistent fetal circulation
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P29.38Overview

What is the ICD-10 code for other persistent fetal circulation?

The ICD-10-CM code for other persistent fetal circulation is P29.38 (sometimes written as P2938). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P29.38 (Persistent fetal circulation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other persistent fetal circulation on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P29.38 group to?

When other persistent fetal circulation is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, with relative weights from 4.1073 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is P29.38 a CC or MCC?

CMS lists P29.38 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 12 closely related codes in its exclusion list.

Is P29.38 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other persistent fetal circulation on inpatient claims. The code appears in the Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) range of the CMS exempt list.