1. ICD-10-CM Codes
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2. P00-P96 Certain conditions originating in the perinatal period
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3. P76-P78 Digestive system disorders of newborn
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4. P78- Other perinatal digestive system disorders
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2020 ICD-10-CM Diagnosis Code P78.0

Perinatal intestinal perforation

2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record

• P78.0 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 P78.0 became effective on October 1, 2019.
• This is the American ICD-10-CM version of P78.0 - other international versions of ICD-10 P78.0 may differ.

• P78.0 should be used on the newborn record - not on the maternal record.

• Congenital gastric perforation
• Neonatal intestinal perforation

• 791 Prematurity with major problems
• 793 Full term neonate with major problems

Convert P78.0 to ICD-9-CM

• 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

• Type 1 Excludes: K65
  ICD-10-CM Diagnosis Code K65

  Peritonitis

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Code Also

  • if applicable diverticular disease of intestine (K57.-)

  Type 1 Excludes

  • acute appendicitis with generalized peritonitis (K35.2-)
  • aseptic peritonitis (T81.6)
  • benign paroxysmal peritonitis (E85.0)
  • chemical peritonitis (T81.6)
  • gonococcal peritonitis (A54.85)
  • neonatal peritonitis (P78.0-P78.1)
  • pelvic peritonitis, female (N73.3-N73.5)
  • periodic familial peritonitis (E85.0)
  • peritonitis due to talc or other foreign substance (T81.6)
  • peritonitis in chlamydia (A74.81)
  • peritonitis in diphtheria (A36.89)
  • peritonitis in syphilis (late) (A52.74)
  • peritonitis in tuberculosis (A18.31)
  • peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
  • peritonitis with or following appendicitis (K35.-)
  • puerperal peritonitis (O85)
  • retroperitoneal infections (K68.-)

  Use Additional

  • code (B95-B97), to identify infectious agent, if known

• Meconium
  • peritonitis P78.0
• 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
  • affected by
    • intestinal perforation P78.0
    • meconium peritonitis P78.0
• Perforation, perforated (nontraumatic) (of)
  • bowel K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • newborn P78.0
  • colon K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • newborn P78.0
  • ileum K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • newborn P78.0
  • intestine NEC K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • ulcerative NEC K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Perforation (nontraumatic) of rectum

      Type 1 Excludes

      • perforation (nontraumatic) of duodenum (K26.-)
      • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

      Type 2 Excludes

      • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
      • newborn P78.0
    • newborn P78.0
  • rectum K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • newborn P78.0
  • sigmoid K63.1
    ICD-10-CM Diagnosis Code K63.1

    Perforation of intestine (nontraumatic)

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Perforation (nontraumatic) of rectum

    Type 1 Excludes

    • perforation (nontraumatic) of duodenum (K26.-)
    • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

    Type 2 Excludes

    • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
    • newborn P78.0
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) K65.9
  ICD-10-CM Diagnosis Code K65.9

  Peritonitis, unspecified

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Bacterial peritonitis NOS
  • neonatal P78.1
    ICD-10-CM Diagnosis Code P78.1

    Other neonatal peritonitis

    2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record

    Applicable To

    • Neonatal peritonitis NOS
    • meconium P78.0
  • meconium P78.0 (newborn)
• Ulcer, ulcerated, ulcerating, ulceration, ulcerative
  • intestine, intestinal K63.3
    ICD-10-CM Diagnosis Code K63.3

    Ulcer of intestine

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Primary ulcer of small intestine

    Type 1 Excludes

    • duodenal ulcer (K26.-)
    • gastrointestinal ulcer (K28.-)
    • gastrojejunal ulcer (K28.-)
    • jejunal ulcer (K28.-)
    • peptic ulcer, site unspecified (K27.-)
    • ulcer of intestine with perforation (K63.1)
    • ulcer of anus or rectum (K62.6)
    • ulcerative colitis (K51.-)
    • perforating K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Perforation (nontraumatic) of rectum

      Type 1 Excludes

      • perforation (nontraumatic) of duodenum (K26.-)
      • perforation (nontraumatic) of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)

      Type 2 Excludes

      • perforation (nontraumatic) of appendix (K35.2-, K35.3-)
      • newborn P78.0

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