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ICD-10-CM Codes
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P00-P96
Certain conditions originating in the perinatal period
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P90-P96
Other disorders originating in the perinatal period
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P91-
Other disturbances of cerebral status of newborn
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2021 ICD-10-CM Diagnosis Code P91.2
2021 ICD-10-CM Diagnosis Code P91.2
Neonatal cerebral leukomalacia
2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
- P91.2 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 P91.2 became effective on October 1, 2020.
- This is the American ICD-10-CM version of P91.2 - other international versions of ICD-10 P91.2 may differ.
ICD-10-CM Coding Rules
- P91.2 should be used on the newborn record - not on the maternal record.
Applicable To- Periventricular leukomalacia
The following code(s) above
P91.2 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
P91.2:
- Periventricular leukomalacia
Clinical Information
- Degeneration of white matter adjacent to the cerebral ventricles following cerebral hypoxia or brain ischemia in neonates. The condition primarily affects white matter in the perfusion zone between superficial and deep branches of the middle cerebral artery. Clinical manifestations include vision disorders; cerebral palsy; paraplegia; seizures; and cognitive disorders. (from Adams et al., Principles of Neurology, 6th ed, p1021; Joynt, Clinical Neurology, 1997, ch4, pp30-1)
- Necrosis and softening of the white matter around the ventricles in the brain. It is usually seen in preterm infants and caused by lack of blood flow and oxygenation in the periventricular brain parenchyma.
ICD-10-CM P91.2 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
- 091 Other disorders of nervous system with mcc
- 092 Other disorders of nervous system with cc
- 093 Other disorders of nervous system without cc/mcc
- 791 Prematurity with major problems
- 793 Full term neonate with major problems
Convert P91.2 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
ICD-10-CM Codes Adjacent To P91.2
P83.6 Umbilical polyp of newborn
P83.8 Other specified conditions of integument specific to newborn
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
P91.6 Hypoxic ischemic encephalopathy [HIE]
P91.61 Mild hypoxic ischemic encephalopathy [HIE]
P91.62 Moderate hypoxic ischemic encephalopathy [HIE]
P91.63 Severe hypoxic ischemic encephalopathy [HIE]
P91.8 Other specified disturbances of cerebral status of newborn
P91.81 Neonatal encephalopathy
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
