Perinatal / Newborn diagnoses - ICD-10-CM Medicare Code Edits
The Medicare Code Editor detects inconsistencies in perinatal / newborn cases by checking a patient's age and any diagnosis on the patient's record. The newborn code edits apply to patients age 0 years only; a subset of diagnoses which will only occur during the perinatal or newborn period of age 0 (e.g., tetanus neonatorum, health examination for newborn under 8 days old).
The following 42 ICD-10-CM codes are intended for perinatal / newborn diagnoses
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Tetanus neonatorum (A33)
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A33 - Tetanus neonatorum
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Cystic fibrosis (E84)
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E84.11 - Meconium ileus in cystic fibrosis
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Disorders of lacrimal system (H04)
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Disorders of prepuce (N47)
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N47.0 - Adherent prepuce, newborn
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Encounter for general examination without complaint, suspected or reported diagnosis (Z00)
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Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05)
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Z05.0 - Observation and evaluation of newborn for suspected cardiac condition ruled out
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Z05.1 - Observation and evaluation of newborn for suspected infectious condition ruled out
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Z05.2 - Observation and evaluation of newborn for suspected neurological condition ruled out
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Z05.3 - Observation and evaluation of newborn for suspected respiratory condition ruled out
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Z05.41 - Observation and evaluation of newborn for suspected genetic condition ruled out
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Z05.42 - Observation and evaluation of newborn for suspected metabolic condition ruled out
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Z05.43 - Observation and evaluation of newborn for suspected immunologic condition ruled out
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Z05.5 - Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
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Z05.6 - Observation and evaluation of newborn for suspected genitourinary condition ruled out
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Z05.71 - Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
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Z05.72 - Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
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Z05.73 - Observation and evaluation of newborn for suspected connective tissue condition ruled out
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Z05.81 - Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
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Z05.89 - Observation and evaluation of newborn for other specified suspected condition ruled out
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Z05.9 - Observation and evaluation of newborn for unspecified suspected condition ruled out
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Liveborn infants according to place of birth and type of delivery (Z38)
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Z38.00 - Single liveborn infant, delivered vaginally
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Z38.01 - Single liveborn infant, delivered by cesarean
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Z38.1 - Single liveborn infant, born outside hospital
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Z38.2 - Single liveborn infant, unspecified as to place of birth
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Z38.30 - Twin liveborn infant, delivered vaginally
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Z38.31 - Twin liveborn infant, delivered by cesarean
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Z38.4 - Twin liveborn infant, born outside hospital
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Z38.5 - Twin liveborn infant, unspecified as to place of birth
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Z38.61 - Triplet liveborn infant, delivered vaginally
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Z38.62 - Triplet liveborn infant, delivered by cesarean
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Z38.63 - Quadruplet liveborn infant, delivered vaginally
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Z38.64 - Quadruplet liveborn infant, delivered by cesarean
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Z38.65 - Quintuplet liveborn infant, delivered vaginally
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Z38.66 - Quintuplet liveborn infant, delivered by cesarean
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Z38.68 - Other multiple liveborn infant, delivered vaginally
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Z38.69 - Other multiple liveborn infant, delivered by cesarean
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Z38.7 - Other multiple liveborn infant, born outside hospital
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Z38.8 - Other multiple liveborn infant, unspecified as to place of birth
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