2020 ICD-10-CM Diagnosis Code P24.21

Neonatal aspiration of blood with respiratory symptoms

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • P24.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM P24.21 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P24.21 - other international versions of ICD-10 P24.21 may differ.
ICD-10-CM Coding Rules
  • P24.21 should be used on the newborn record - not on the maternal record.
Applicable To
  • Neonatal aspiration of blood with pneumonia
  • Neonatal aspiration of blood with pneumonitis
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 to identify any secondary pulmonary hypertension, if applicable (
    ICD-10-CM Diagnosis Code I27.2

    Other secondary pulmonary hypertension

      2016 2017 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • associated underlying condition
    Type 1 Excludes
    • Eisenmenger's syndrome (I27.83)
    I27.2-
    )
The following code(s) above P24.21 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 P24.21:
  • P00-P96
    2020 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
  • P24
    ICD-10-CM Diagnosis Code P24

    Neonatal aspiration

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • aspiration in utero and during delivery
    Neonatal aspiration
Approximate Synonyms
  • Neonatal aspiration of blood co-occurrent with respiratory symptoms
ICD-10-CM P24.21 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P24.21 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

Diagnosis Index entries containing back-references to P24.21:
  • Aspiration
    • blood
      • newborn (without respiratory symptoms) P24.20
        ICD-10-CM Diagnosis Code P24.20

        Neonatal aspiration of blood without respiratory symptoms

          2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
        Applicable To
        • Neonatal aspiration of blood NOS
        • with
          • pneumonia P24.21 (pneumonitis)
          • respiratory symptoms P24.21
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 Billable/Specific Code
    • aspiration J69.0
      ICD-10-CM Diagnosis Code J69.0

      Pneumonitis due to inhalation of food and vomit

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Aspiration pneumonia NOS
      • Aspiration pneumonia (due to) food (regurgitated)
      • Aspiration pneumonia (due to) gastric secretions
      • Aspiration pneumonia (due to) milk
      • Aspiration pneumonia (due to) vomit
      Code Also
      • any associated foreign body in respiratory tract (T17.-)
      Type 1 Excludes
      • chemical pneumonitis due to anesthesia (J95.4)
      • obstetric aspiration pneumonitis (O74.0)
      • newborn P24.81
        ICD-10-CM Diagnosis Code P24.81

        Other neonatal aspiration with respiratory symptoms

          2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
        Applicable To
        • Neonatal aspiration pneumonia NEC
        • Neonatal aspiration with pneumonitis NEC
        • Neonatal aspiration with pneumonia NOS
        • Neonatal aspiration with pneumonitis NOS
        Use Additional
        • code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
        • blood P24.21

ICD-10-CM Codes Adjacent To P24.21
P23.9 Congenital pneumonia, unspecified
P24 Neonatal aspiration
P24.0 Meconium aspiration
P24.00 …… without respiratory symptoms
P24.01 …… with respiratory symptoms
P24.1 Neonatal aspiration of (clear) amniotic fluid and mucus
P24.10 …… without respiratory symptoms
P24.11 …… with respiratory symptoms
P24.2 Neonatal aspiration of blood
P24.20 …… without respiratory symptoms
P24.21 …… with respiratory symptoms
P24.3 Neonatal aspiration of milk and regurgitated food
P24.30 …… without respiratory symptoms
P24.31 …… with respiratory symptoms
P24.8 Other neonatal aspiration
P24.80 …… without respiratory symptoms
P24.81 …… with respiratory symptoms
P24.9 Neonatal aspiration, unspecified
P25 Interstitial emphysema and related conditions originating in the perinatal period
P25.0 Interstitial emphysema originating in the perinatal period
P25.1 Pneumothorax originating in the perinatal period

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