2023 ICD-10-CM Diagnosis Code P23.0

Congenital pneumonia due to viral agent

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
  • P23.0 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 P23.0 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of P23.0 - other international versions of ICD-10 P23.0 may differ.
ICD-10-CM Coding Rules
  • P23.0 should be used on the newborn record - not on the maternal record.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (
    ICD-10-CM Diagnosis Code B97

    Viral agents as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    B97
    ) to identify organism
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P23.0. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital rubella pneumonitis (
    ICD-10-CM Diagnosis Code P35.0

    Congenital rubella syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Congenital rubella pneumonitis
    P35.0
    )
The following code(s) above P23.0 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 P23.0:
  • 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
  • P23
    ICD-10-CM Diagnosis Code P23

    Congenital pneumonia

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • infective pneumonia acquired in utero or during birth
    Type 1 Excludes
    • neonatal pneumonia resulting from aspiration (P24.-)
    Congenital pneumonia
Approximate Synonyms
  • Congenital viral pneumonia
ICD-10-CM P23.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P23.0 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): No change
  • 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
Code annotations containing back-references to P23.0:
  • Type 1 Excludes: J12
    , J18
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Includes
    • bronchopneumonia due to viruses other than influenza viruses
    Type 1 Excludes
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • congenital rubella pneumonitis (P35.0)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    ICD-10-CM Diagnosis Code J18

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    Type 1 Excludes
    • abscess of lung with pneumonia (J85.1)
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • drug-induced interstitial lung disorder (J70.2-J70.4)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonitis due to external agents (J67-J70)
    • pneumonitis due to fumes and vapors (J68.0)
    • usual interstitial pneumonia (J84.178)

Diagnosis Index entries containing back-references to P23.0:
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • congenital (infective) P23.9
      ICD-10-CM Diagnosis Code P23.9

      Congenital pneumonia, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
    • viral, virus (broncho) (interstitial) (lobar) J12.9
      ICD-10-CM Diagnosis Code J12.9

      Viral pneumonia, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • congenital P23.0

ICD-10-CM Codes Adjacent To P23.0
P19.0 Metabolic acidemia in newborn first noted before onset of labor
P19.1 Metabolic acidemia in newborn first noted during labor
P19.2 Metabolic acidemia noted at birth
P19.9 Metabolic acidemia, unspecified
P22 Respiratory distress of newborn
P22.0 Respiratory distress syndrome of newborn
P22.1 Transient tachypnea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified
P23 Congenital pneumonia
P23.0 Congenital pneumonia due to viral agent
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified
P24 Neonatal aspiration
P24.0 Meconium aspiration

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