2023 ICD-10-CM Diagnosis Code P00.5

Newborn affected by maternal injury

    2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt
  • P00.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM P00.5 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of P00.5 - other international versions of ICD-10 P00.5 may differ.
ICD-10-CM Coding Rules
  • P00.5 should be used on the newborn record - not on the maternal record.
Applicable To
  • Newborn affected by maternal conditions classifiable to
    ICD-10-CM Diagnosis Code O9A.2

    Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    Type 2 Excludes
    • physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.3-, O9A.4-, O9A.5-)
    Use Additional
    • code(s) to identify the injury or poisoning
    O9A.2-
The following code(s) above P00.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P00.5:
  • P00-P96
    2023 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • tetanus neonatorum (A33)
    Certain conditions originating in the perinatal period
  • P00-P04
    2023 ICD-10-CM Range P00-P04

    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery

    Note
    • These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
    Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
  • P00
    ICD-10-CM Diagnosis Code P00

    Newborn affected by maternal conditions that may be unrelated to present pregnancy

      2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • any current condition in newborn
    Type 2 Excludes
    • 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.-)
    Newborn affected by maternal conditions that may be unrelated to present pregnancy
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • P00.5 is considered exempt from POA reporting.
ICD-10-CM P00.5 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 794 Neonate with other significant problems

Convert P00.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): Revised code
    • New description: Newborn affected by maternal injury
    • 2016 description: Newborn (suspected to be) affected by maternal injury
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to P00.5:
  • Newborn (infant) (liveborn) (singleton) Z38.2
    ICD-10-CM Diagnosis Code Z38.2

    Single liveborn infant, unspecified as to place of birth

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS

ICD-10-CM Codes Adjacent To P00.5
O9A.513 …… third trimester
O9A.519 …… unspecified trimester
O9A.52 Psychological abuse complicating childbirth
O9A.53 Psychological abuse complicating the puerperium
P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy
P00.0 Newborn affected by maternal hypertensive disorders
P00.1 Newborn affected by maternal renal and urinary tract diseases
P00.2 Newborn affected by maternal infectious and parasitic diseases
P00.3 Newborn affected by other maternal circulatory and respiratory diseases
P00.4 Newborn affected by maternal nutritional disorders
P00.5 Newborn affected by maternal injury
P00.6 Newborn affected by surgical procedure on mother
P00.7 Newborn affected by other medical procedures on mother, not elsewhere classified
P00.8 Newborn affected by other maternal conditions
P00.81 Newborn affected by periodontal disease in mother
P00.82 Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
P00.89 Newborn affected by other maternal conditions
P00.9 Newborn affected by unspecified maternal condition
P01 Newborn affected by maternal complications of pregnancy
P01.0 Newborn affected by incompetent cervix
P01.1 Newborn affected by premature rupture of membranes

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.