2019

  1. ICD-10-CM Codes
    2. ›
  2. P00-P96 Certain conditions originating in the perinatal period
    3. ›
  3. P76-P78 Digestive system disorders of newborn
    4. ›
  4. P78- Other perinatal digestive system disorders
    5. ›

2019 ICD-10-CM Diagnosis Code P78.0

Perinatal intestinal perforation

    2016 2017 2018 2019 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 2019 edition of ICD-10-CM P78.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of P78.0 - other international versions of ICD-10 P78.0 may differ.
ICD-10-CM Coding Rules
  • P78.0 should be used on the newborn record - not on the maternal record.
Applicable To
  • Meconium peritonitis
The following code(s) above P78.0 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 P78.0:
  • P00-P96
    2019 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
  • P78
    ICD-10-CM Diagnosis Code P78

    Other perinatal digestive system disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other perinatal digestive system disorders
Approximate Synonyms
  • Congenital gastric perforation
  • Neonatal intestinal perforation
ICD-10-CM P78.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 793 Full term neonate with major problems

Convert P78.0 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
Code annotations containing back-references to P78.0:
  • Type 1 Excludes: K65
    ICD-10-CM Diagnosis Code K65

    Peritonitis

      2016 2017 2018 2019 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

Diagnosis Index entries containing back-references to P78.0:
  • 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 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 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
      • newborn P78.0
    • colon K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

        2016 2017 2018 2019 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
      • newborn P78.0
    • ileum K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

        2016 2017 2018 2019 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
      • newborn P78.0
    • intestine NEC K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

        2016 2017 2018 2019 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
      • ulcerative NEC K63.1
        ICD-10-CM Diagnosis Code K63.1

        Perforation of intestine (nontraumatic)

          2016 2017 2018 2019 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
        • newborn P78.0
      • newborn P78.0
    • rectum K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

        2016 2017 2018 2019 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
      • newborn P78.0
    • sigmoid K63.1
      ICD-10-CM Diagnosis Code K63.1

      Perforation of intestine (nontraumatic)

        2016 2017 2018 2019 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
      • 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 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 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 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 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
        • newborn P78.0

ICD-10-CM Codes Adjacent To P78.0
P76.1 Transitory ileus of newborn
P76.2 Intestinal obstruction due to inspissated milk
P76.8 Other specified intestinal obstruction of newborn
P76.9 Intestinal obstruction of newborn, unspecified
P77 Necrotizing enterocolitis of newborn
P77.1 Stage 1 necrotizing enterocolitis in newborn
P77.2 Stage 2 necrotizing enterocolitis in newborn
P77.3 Stage 3 necrotizing enterocolitis in newborn
P77.9 Necrotizing enterocolitis in newborn, unspecified
P78 Other perinatal digestive system disorders
P78.0 Perinatal intestinal perforation
P78.1 Other neonatal peritonitis
P78.2 Neonatal hematemesis and melena due to swallowed maternal blood
P78.3 Noninfective neonatal diarrhea
P78.8 Other specified perinatal digestive system disorders
P78.81 Congenital cirrhosis (of liver)
P78.82 Peptic ulcer of newborn
P78.83 Newborn esophageal reflux
P78.84 Gestational alloimmune liver disease
P78.89 Other specified perinatal digestive system disorders
P78.9 Perinatal digestive system disorder, unspecified

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

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