2024 ICD-10-CM Diagnosis Code P91.829
Neonatal cerebral infarction, unspecified side
- ICD-10-CM Code:
- P91.829
- ICD-10 Code for:
- Neonatal cerebral infarction, unspecified side
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
P91.829 is a billable diagnosis code used to specify a medical diagnosis of neonatal cerebral infarction, unspecified side. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Unspecified diagnosis codes like P91.829 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cerebrovascular accident following heart procedure
- Cerebrovascular accident of basal ganglia
- Cryptogenic stroke
- Ischemic stroke
- Neonatal epilepsy due to perinatal stroke
- Neonatal ischemic stroke
- Neonatal stroke
- Pediatric arterial ischemic stroke
- Perinatal arterial ischemic stroke of fetus and/or neonate
- Perinatal cardiovascular disorders
- Post-cerebrovascular accident epilepsy
- Posttraumatic seizure
Clinical Classification
Clinical Category is Neonatal cerebral disorders
- CCSR Category Code: PNL004
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Ischemic Stroke
stroke due to brain ischemia resulting in interruption or reduction of blood flow to a part of the brain. when obstruction is due to a blood clot formed within in a cerebral blood vessel it is a thrombotic stroke. when obstruction is formed elsewhere and moved to block a cerebral blood vessel (see cerebral embolism) it is referred to as embolic stroke. wake-up stroke refers to ischemic stroke occurring during sleep while cryptogenic stroke refers to ischemic stroke of unknown origin.
Present on Admission (POA)
P91.829 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| 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 - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Replacement Code
P91829 replaces the following previously assigned ICD-10-CM code(s):
- P91.88 - Other specified disturbances of cerebral status of newborn
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - Code Added, effective from 10/1/2020 through 9/30/2021
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.