P29.0
P29.0: Neonatal cardiac failure
Billable / specific codeICD-10-CM
P29.0 is a billable, specific ICD-10-CM code for neonatal cardiac failure. It is valid for submission on a claim.
Check P29.0 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated underlying condition
Risk adjustment
P29.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 225 Acute Heart Failure (Excludes Acute on Chronic)0.360 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
P29.0 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
Alphabetic index entries that lead here
- Failure, failed›heart›newborn
- Insufficiency, insufficient›heart›newborn
- Insufficiency, insufficient›myocardial, myocardium›newborn
- Edema, edematous›lung›with heart condition or failure›newborn
- Failure, failed›heart›congestive›newborn
Code history
Unchanged in every release from FY2024 to FY2027.