P00
P00: Newborn affected by maternal conditions that may be unrelated to present pregnancy
Non-billable headerICD-10-CM
P00 is a non-billable header ICD-10-CM code for newborn affected by maternal conditions that may be unrelated to present pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
- newborn affected by maternal complications of pregnancy (P01.-)
- newborn affected by maternal endocrine and metabolic disorders (P70-P74)
- newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
Code first
The underlying condition must be sequenced before this code.
- any current condition in newborn
Other codes that can never be billed with P00
Their own Excludes1 notes name this code, so the conflict is not listed above.
- P00.2Newborn affected by maternal infectious and parasitic diseases
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead P00
10 child codes. Green means billable.
- P00.0Newborn affected by maternal hypertensive disorders
- P00.1Newborn affected by maternal renal and urinary tract diseases
- P00.2Newborn affected by maternal infectious and parasitic diseases
- P00.3Newborn affected by other maternal circulatory and respiratory diseases
- P00.4Newborn affected by maternal nutritional disorders
- P00.5Newborn affected by maternal injury
- P00.6Newborn affected by surgical procedure on mother
- P00.7Newborn affected by other medical procedures on mother, not elsewhere classified
- P00.8Newborn affected by other maternal conditions
- P00.9Newborn affected by unspecified maternal condition