2021 ICD-10-CM Diagnosis Code P84

Other problems with newborn

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P84 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM P84 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P84 - other international versions of ICD-10 P84 may differ.
ICD-10-CM Coding Rules
  • P84 should be used on the newborn record - not on the maternal 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
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 P84. 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.
  • intracranial hemorrhage due to anoxia or hypoxia (
    ICD-10-CM Diagnosis Code P52
    • P52 Intracranial nontraumatic hemorrhage of newbo...
      • P52.0 Intraventricular (nontraumatic) hemorrhage, g...
      • P52.1 Intraventricular (nontraumatic) hemorrhage, g...
      • P52.2 Intraventricular (nontraumatic) hemorrhage, g...
        • P52.21 Intraventricular (nontraumatic) hemorrhage, g...
        • P52.22 Intraventricular (nontraumatic) hemorrhage, g...
      • P52.3 Unspecified intraventricular (nontraumatic) h...
      • P52.4 Intracerebral (nontraumatic) hemorrhage of ne...
      • P52.5 Subarachnoid (nontraumatic) hemorrhage of new...
      • P52.6 Cerebellar (nontraumatic) and posterior fossa...
      • P52.8 Other intracranial (nontraumatic) hemorrhages...
      • P52.9 Intracranial (nontraumatic) hemorrhage of new...
    P52.-
    )
  • hypoxic ischemic encephalopathy [HIE] (
    ICD-10-CM Diagnosis Code P91.6

    Hypoxic ischemic encephalopathy [HIE]

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Neonatal cerebral depression (P91.4)
    • Neonatal cerebral irritability (P91.3)
    • Neonatal coma (P91.5)
    P91.6-
    )
  • late metabolic acidosis of newborn (
    ICD-10-CM Diagnosis Code P74.0

    Late metabolic acidosis of newborn

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • (fetal) metabolic acidosis of newborn (P19)
    P74.0
    )
The following code(s) above P84 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 P84:
  • P00-P96
    2021 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
Approximate Synonyms
  • Asphyxia, in liveborn infant
  • Birth asphyxia in liveborn infant
  • Fetal distress during labor, liveborn
  • Liveborn with labor fetal distress
  • Neonatal acidosis
  • Neonatal hypoxemia
  • Neonatal respiratory acidosis
Clinical Information
  • Reduction of oxygen supply to tissues in newborns that is below physiological levels.
  • Respiratory failure in the newborn. (Dorland, 27th ed)
ICD-10-CM P84 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 794 Neonate with other significant problems

Convert P84 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
Code annotations containing back-references to P84:
  • Type 1 Excludes: R09.0
    , G93.1
    ICD-10-CM Diagnosis Code R09.0

    Asphyxia and hypoxemia

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • asphyxia due to carbon monoxide (T58.-)
    • asphyxia due to foreign body in respiratory tract (T17.-)
    • birth (intrauterine) asphyxia (P84)
    • hyperventilation (R06.4)
    • traumatic asphyxia (T71.-)
    Type 2 Excludes
    ICD-10-CM Diagnosis Code G93.1

    Anoxic brain damage, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • cerebral anoxia due to anesthesia during labor and delivery (O74.3)
    • cerebral anoxia due to anesthesia during the puerperium (O89.2)
    • neonatal anoxia (P84)

Diagnosis Index entries containing back-references to P84:
  • Acidosis (lactic) (respiratory) E87.2
    ICD-10-CM Diagnosis Code E87.2

    Acidosis

      2016 2017 2018 2019 2020 2021 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
    • mixed metabolic and respiratory, newborn P84
    • newborn P84
  • Anoxemia R09.02
    ICD-10-CM Diagnosis Code R09.02

    Hypoxemia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • newborn P84
  • Anoxia (pathological) R09.02
    ICD-10-CM Diagnosis Code R09.02

    Hypoxemia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • cerebral G93.1
      ICD-10-CM Diagnosis Code G93.1

      Anoxic brain damage, not elsewhere classified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Type 1 Excludes
      • cerebral anoxia due to anesthesia during labor and delivery (O74.3)
      • cerebral anoxia due to anesthesia during the puerperium (O89.2)
      • neonatal anoxia (P84)
      • newborn P84
    • intrauterine P84
    • newborn P84
  • Asphyxia, asphyxiation (by) R09.01
    ICD-10-CM Diagnosis Code R09.01

    Asphyxia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • postnatal P84
    • antenatal P84
    • birth P84
    • intrauterine P84
    • newborn P84
    • prenatal P84
  • Distress
  • Hypercapnia R06.89
    ICD-10-CM Diagnosis Code R06.89

    Other abnormalities of breathing

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Breath-holding (spells)
    • Sighing
    • newborn P84
  • Hypoxemia R09.02
    ICD-10-CM Diagnosis Code R09.02

    Hypoxemia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • newborn P84
  • Hypoxia R09.02
    - see also Anoxia
    ICD-10-CM Diagnosis Code R09.02

    Hypoxemia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • intrauterine P84
    • newborn P84
  • 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 2021 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS
    • affected by
      • mixed metabolic and respiratory acidosis P84
  • Stress F43.9
    ICD-10-CM Diagnosis Code F43.9

    Reaction to severe stress, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Trauma and stressor-related disorder, NOS

ICD-10-CM Codes Adjacent To P84
P83.3 Other and unspecified edema specific to newborn
P83.30 Unspecified edema specific to newborn
P83.39 Other edema specific to newborn
P83.4 Breast engorgement of newborn
P83.5 Congenital hydrocele
P83.6 Umbilical polyp of newborn
P83.8 Other specified conditions of integument specific to newborn
P83.81 Umbilical granuloma
P83.88 Other specified conditions of integument specific to newborn
P83.9 Condition of the integument specific to newborn, unspecified
P84 Other problems with newborn
P90 Convulsions of newborn
P91 Other disturbances of cerebral status of newborn
P91.0 Neonatal cerebral ischemia
P91.1 Acquired periventricular cysts of newborn
P91.2 Neonatal cerebral leukomalacia
P91.3 Neonatal cerebral irritability
P91.4 Neonatal cerebral depression
P91.5 Neonatal coma
P91.6 Hypoxic ischemic encephalopathy [HIE]
P91.60 …… unspecified

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