2020 ICD-10-CM Diagnosis Code P74.0

Late metabolic acidosis of newborn

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
  • P74.0 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 P74.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P74.0 - other international versions of ICD-10 P74.0 may differ.
ICD-10-CM Coding Rules
  • P74.0 should be used on the newborn record - not on the maternal record.
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 P74.0. 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.
  • (fetal) metabolic acidosis of newborn (
    ICD-10-CM Diagnosis Code P19

    Metabolic acidemia in newborn

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • metabolic acidemia in newborn
    P19
    )
The following code(s) above P74.0 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 P74.0:
  • 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
  • P70-P74
    2020 ICD-10-CM Range P70-P74

    Transitory endocrine and metabolic disorders specific to newborn

    Includes
    • transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment
    Transitory endocrine and metabolic disorders specific to newborn
ICD-10-CM P74.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P74.0 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
Code annotations containing back-references to P74.0:
  • Type 1 Excludes: P84
    ICD-10-CM Diagnosis Code P84

    Other problems with newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Acidemia of newborn
    • Acidosis of newborn
    • Anoxia of newborn NOS
    • Asphyxia of newborn NOS
    • Hypercapnia of newborn
    • Hypoxemia of newborn
    • Hypoxia of newborn NOS
    • Mixed metabolic and respiratory acidosis of newborn
    Type 1 Excludes
    • intracranial hemorrhage due to anoxia or hypoxia (P52.-)
    • hypoxic ischemic encephalopathy [HIE] (P91.6-)
    • late metabolic acidosis of newborn (P74.0)
  • Type 2 Excludes: P74.421
    ICD-10-CM Diagnosis Code P74.421

    Hyperchloremia of newborn

      2019 - New Code 2020 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Hyperchloremic metabolic acidosis
    Type 2 Excludes
    • late metabolic acidosis of the newborn (P74.0)

Diagnosis Index entries containing back-references to P74.0:
  • Acidosis (lactic) (respiratory) E87.2
    ICD-10-CM Diagnosis Code E87.2

    Acidosis

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acidosis NOS
    • Lactic acidosis
    • Metabolic acidosis
    • Respiratory acidosis
    Type 1 Excludes
    • diabetic acidosis - see categories E08-E10, E13 with ketoacidosis
    • metabolic NEC E87.2
      ICD-10-CM Diagnosis Code E87.2

      Acidosis

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Acidosis NOS
      • Lactic acidosis
      • Metabolic acidosis
      • Respiratory acidosis
      Type 1 Excludes
      • diabetic acidosis - see categories E08-E10, E13 with ketoacidosis
      • late, of newborn P74.0
  • 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 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS
    • late metabolic acidosis P74.0

ICD-10-CM Codes Adjacent To P74.0
P71.4 Transitory neonatal hypoparathyroidism
P71.8 Other transitory neonatal disorders of calcium and magnesium metabolism
P71.9 Transitory neonatal disorder of calcium and magnesium metabolism, unspecified
P72 Other transitory neonatal endocrine disorders
P72.0 Neonatal goiter, not elsewhere classified
P72.1 Transitory neonatal hyperthyroidism
P72.2 Other transitory neonatal disorders of thyroid function, not elsewhere classified
P72.8 Other specified transitory neonatal endocrine disorders
P72.9 Transitory neonatal endocrine disorder, unspecified
P74 Other transitory neonatal electrolyte and metabolic disturbances
P74.0 Late metabolic acidosis of newborn
P74.1 Dehydration of newborn
P74.2 Disturbances of sodium balance of newborn
P74.21 Hypernatremia of newborn
P74.22 Hyponatremia of newborn
P74.3 Disturbances of potassium balance of newborn
P74.31 Hyperkalemia of newborn
P74.32 Hypokalemia of newborn
P74.4 Other transitory electrolyte disturbances of newborn
P74.41 Alkalosis of newborn
P74.42 Disturbances of chlorine balance of newborn

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