Other disturbances of cerebral status of newborn (P91)
The ICD-10 code section P91 is used to classify a variety of specific disturbances affecting the cerebral status of newborns. These codes address conditions ranging from neonatal cerebral ischemia and hypoxic ischemic encephalopathy (HIE) to neonatal cerebral infarction and different types of neonatal encephalopathy.
This section covers unique conditions such as neonatal cerebral ischemia (P91.0), known also as acute cerebral ischemia or epilepsy due to perinatal cerebral ischemia, highlighting brain blood flow issues in newborns. Codes like P91.6 for hypoxic ischemic encephalopathy (HIE) further specify severity levels, including mild, moderate, or severe forms, which reflect the extent of oxygen deprivation to the newborn's brain. Other codes, like P91.82 for neonatal cerebral infarction, distinguish the affected brain side, aiding in precise documentation. Additional listings cover acquired cysts, cerebral irritability or depression, coma, and unspecified neonatal encephalopathies with related synonyms to clarify coding choices. These specific codes are essential for accurately identifying and documenting various cerebral conditions in neonates, thereby guiding appropriate clinical care and billing.
Certain conditions originating in the perinatal period (P00–P96)
Other disorders originating in the perinatal period (P90-P96)
P91 Other disturbances of cerebral status of newborn
- P91.0 Neonatal cerebral ischemia
- P91.1 Acquired periventricular cysts of newborn
- P91.2 Neonatal cerebral leukomalacia
- P91.3 Neonatal cerebral irritability
- P91.4 Neonatal cerebral depression
- P91.5 Neonatal coma
P91.6 Hypoxic ischemic encephalopathy [HIE]
- P91.60 Hypoxic ischemic encephalopathy [HIE], unspecified
- P91.61 Mild hypoxic ischemic encephalopathy [HIE]
- P91.62 Moderate hypoxic ischemic encephalopathy [HIE]
- P91.63 Severe hypoxic ischemic encephalopathy [HIE]
P91.8 Other specified disturbances of cerebral status of newborn
P91.81 Neonatal encephalopathy
- P91.811 Neonatal encephalopathy in diseases classified elsewhere
- P91.819 Neonatal encephalopathy, unspecified
P91.82 Neonatal cerebral infarction
- P91.821 Neonatal cerebral infarction, right side of brain
- P91.822 Neonatal cerebral infarction, left side of brain
- P91.823 Neonatal cerebral infarction, bilateral
- P91.829 Neonatal cerebral infarction, unspecified side
- P91.88 Other specified disturbances of cerebral status of newborn
- P91.9 Disturbance of cerebral status of newborn, unspecified
Other disturbances of cerebral status of newborn (P91)
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
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.
