Chapter XVI Certain conditions originating in the perinatal period (P00-P96) Includes: conditions that have their origin in the perinatal period even though death or morbidity occurs later Excludes: congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99 ) endocrine, nutritional and metabolic diseases ( E00-E90 ) injury, poisoning and certain other consequences of external causes ( S00-T98 ) neoplasms ( C00-D48 ) tetanus neonatorum ( A33 )

This chapter contains the following blocks:

P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery P05-P08 Disorders related to length of gestation and fetal growth P10-P15 Birth trauma P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period P35-P39 Infections specific to the perinatal period P50-P61 Haemorrhagic and haematological disorders of fetus and newborn P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn P75-P78 Digestive system disorders of fetus and newborn P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn P90-P96 Other disorders originating in the perinatal period

An asterisk category for this chapter is provided as follows:

P75* Meconium ileus in cystic fibrosis

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Includes: the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy Excludes: fetus and newborn affected by:

maternal complications of pregnancy ( - )
maternal endocrine and metabolic disorders ( P70-P74 )
noxious influences transmitted via placenta or breast milk ( - )

P00.0 Fetus and newborn affected by maternal hypertensive disorders Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16 P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases Fetus or newborn affected by maternal conditions classifiable to N00-N39 P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases Fetus or newborn affected by maternal infectious disease classifiable to A00-B99 and J09-J11, but not itself manifesting that disease Excludes: infections specific to the perinatal period ( P35-P39 ) maternal genital tract and other localized infections ( P00.8 ) P00.3 Fetus and newborn affected by other maternal circulatory and respiratory diseases Fetus or newborn affected by maternal conditions classifiable to I00- I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2 P00.4 Fetus and newborn affected by maternal nutritional disorders Fetus or newborn affected by maternal disorders classifiable to E40-E64 Maternal malnutrition NOS P00.5 Fetus and newborn affected by maternal injury Fetus or newborn affected by maternal conditions classifiable to S00-T79 P00.6 Fetus and newborn affected by surgical procedure on mother Excludes: caesarean section for present delivery ( P03.4 ) damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1 ) previous surgery to uterus or pelvic organs ( P03.8 ) termination of pregnancy, fetus ( P96.4 ) P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified Fetus or newborn affected by radiology on mother Excludes: damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1 ) fetus or newborn affected by other complications of labour and delivery ( P03.- ) P00.8 Fetus and newborn affected by other maternal conditions Fetus or newborn affected by:

conditions classifiable to T80-T88
maternal genital tract and other localized infections
maternal systemic lupus erythematosus

Excludes: transitory neonatal endocrine and metabolic disorders ( P70-P74 ) P00.9 Fetus and newborn affected by unspecified maternal condition

P01 Fetus and newborn affected by maternal complications of pregnancy

P01.0 Fetus and newborn affected by incompetent cervix P01.1 Fetus and newborn affected by premature rupture of membranes P01.2 Fetus and newborn affected by oligohydramnios Excludes: when due to premature rupture of membranes ( P01.1 ) P01.3 Fetus and newborn affected by polyhydramnios Hydramnios P01.4 Fetus and newborn affected by ectopic pregnancy Abdominal pregnancy P01.5 Fetus and newborn affected by multiple pregnancy Triplet (pregnancy) Twin (pregnancy) P01.6 Fetus and newborn affected by maternal death P01.7 Fetus and newborn affected by malpresentation before labour Breech presentation External version Face presentation Transverse lie Unstable lie before labour P01.8 Fetus and newborn affected by other maternal complications of pregnancy Spontaneous abortion, fetus P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified

P02 Fetus and newborn affected by complications of placenta, cord and membranes

P02.0 Fetus and newborn affected by placenta praevia P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage Abruptio placentae Accidental haemorrhage Antepartum haemorrhage Damage to placenta from amniocentesis, caesarean section or surgical induction Maternal blood loss Premature separation of placenta P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta Placental:

dysfunction
infarction
insufficiency

P02.3 Fetus and newborn affected by placental transfusion syndromes Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion Use additional code, if desired, to indicate resultant condition in the fetus or newborn. P02.4 Fetus and newborn affected by prolapsed cord P02.5 Fetus and newborn affected by other compression of umbilical cord Cord (tightly) around neck Entanglement of cord Knot in cord P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord Short cord Vasa praevia Excludes: single umbilical artery ( Q27.0 ) P02.7 Fetus and newborn affected by chorioamnionitis Amnionitis Membranitis Placentitis P02.8 Fetus and newborn affected by other abnormalities of membranes P02.9 Fetus and newborn affected by abnormality of membranes, unspecified

P03 Fetus and newborn affected by other complications of labour and delivery

P03.0 Fetus and newborn affected by breech delivery and extraction P03.1 Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery Contracted pelvis Fetus or newborn affected by conditions classifiable to O64-O66 Persistent occipitoposterior Transverse lie P03.2 Fetus and newborn affected by forceps delivery P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse] P03.4 Fetus and newborn affected by caesarean delivery P03.5 Fetus and newborn affected by precipitate delivery Rapid second stage P03.6 Fetus and newborn affected by abnormal uterine contractions Fetus or newborn affected by conditions classifiable to O62.-, except O62.3 Hypertonic labour Uterine inertia P03.8 Fetus and newborn affected by other specified complications of labour and delivery Abnormality of maternal soft tissues Destructive operation to facilitate delivery Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures used in labour and delivery not included in P02.- and P03.0-P03.6 Induction of labour P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified

P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Includes: nonteratogenic effects of substances transmitted via placenta Excludes: congenital malformations ( Q00-Q99 ) neonatal jaundice due to drugs or toxins transmitted from mother ( P58.4 ) P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery P04.1 Fetus and newborn affected by other maternal medication Cancer chemotherapy Cytotoxic drugs Excludes: dysmorphism due to warfarin ( Q86.2 ) fetal hydantoin syndrome ( Q86.1 ) maternal use of drugs of addiction ( P04.4 ) P04.2 Fetus and newborn affected by maternal use of tobacco P04.3 Fetus and newborn affected by maternal use of alcohol Excludes: fetal alcohol syndrome ( Q86.0 ) P04.4 Fetus and newborn affected by maternal use of drugs of addiction Excludes: maternal anaesthesia and analgesia ( P04.0 ) withdrawal symptoms from maternal use of drugs of addiction ( P96.1 ) P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances P04.6 Fetus and newborn affected by maternal exposure to environmental chemical substances P04.8 Fetus and newborn affected by other maternal noxious influences P04.9 Fetus and newborn affected by maternal noxious influence, unspecified Disorders related to length of gestation and fetal growth

(P05-P08)

P05 Slow fetal growth and fetal malnutrition

P05.0 Light for gestational age Usually referred to as weight below but length above 10th centile for gestational age. Light-for-dates P05.1 Small for gestational age Usually referred to as weight and length below 10th centile for gestational age. Small-for-dates Small-and-light-for-dates P05.2 Fetal malnutrition without mention of light or small for gestational age Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue. Excludes: fetal malnutrition with mention of:

light for gestational age ( 0 )
small for gestational age ( 1 )

P05.9 Slow fetal growth, unspecified Fetal growth retardation NOS

P07

Disorders related to short gestation and low birth weight, not elsewhere classified

Note: When both birth weight and gestational age are available, priority of assignment should be given to birth weight. Includes: the listed conditions, without further specification, as the cause of mortality, morbidity or additional care, in newborn Excludes: low birth weight due to slow fetal growth and fetal malnutrition ( P05.- ) P07.0 Extremely low birth weight Birth weight 999 g or less. P07.1 Other low birth weight Birth weight 1000-2499 g. P07.2 Extreme immaturity Less than 28 completed weeks (less than 196 completed days) of gestation. P07.3 Other preterm infants 28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation. Prematurity NOS

P08 Disorders related to long gestation and high birth weight

infant of diabetic mother ( 1 )
infant of mother with gestational diabetes ( 0 )

P08.1 Other heavy for gestational age infants Other fetus or infant heavy- or large-for-dates regardless of period of gestation. Usually implies a birth weight >90th percentile for gestational age or 4000 g or more at term Excludes: syndrome of infant of:

diabetic mother ( 1 )
mother with gestational diabetes ( 0 ) Birth weight of 4500 g or more (P08.0)

P08.2 Post-term infant, not heavy for gestational age Fetus or infant with gestation period of 42 completed weeks or more (294 days or more), not heavy- or large-for-dates. Postmaturity NOS

Birth trauma (P10-P15)

P10 Intracranial laceration and haemorrhage due to birth injury

Excludes: intracranial haemorrhage of fetus or newborn:

NOS ( P52.9 )
due to anoxia or hypoxia ( P52.- )

P10.0 Subdural haemorrhage due to birth injury Subdural haematoma (localized) due to birth injury Excludes: subdural haemorrhage accompanying tentorial tear ( P10.4 ) P10.1 Cerebral haemorrhage due to birth injury P10.2 Intraventricular haemorrhage due to birth injury P10.3 Subarachnoid haemorrhage due to birth injury P10.4 Tentorial tear due to birth injury P10.8 Other intracranial lacerations and haemorrhages due to birth injury P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury

P11 Other birth injuries to central nervous system

P11.0 Cerebral oedema due to birth injury P11.1 Other specified brain damage due to birth injury P11.2 Unspecified brain damage due to birth injury P11.3 Birth injury to facial nerve Facial palsy due to birth injury P11.4 Birth injury to other cranial nerves P11.5 Birth injury to spine and spinal cord Fracture of spine due to birth injury P11.9 Birth injury to central nervous system, unspecified

P12 Birth injury to scalp

P12.0 Cephalhaematoma due to birth injury P12.1 Chignon due to birth injury P12.2 Epicranial subaponeurotic haemorrhage due to birth injury P12.3 Bruising of scalp due to birth injury P12.4 Monitoring injury of scalp of newborn Sampling incision Scalp clip (electrode) injury

P13

P12.8 Other birth injuries to scalp P12.9 Birth injury to scalp, unspecified

Birth injury to skeleton

Excludes: birth injury to spine ( P11.5 ) P13.0 Fracture of skull due to birth injury P13.1 Other birth injuries to skull Excludes: cephalhaematoma ( P12.0 ) P13.2 Birth injury to femur P13.3 Birth injury to other long bones P13.4 Fracture of clavicle due to birth injury P13.8 Birth injuries to other parts of skeleton P13.9 Birth injury to skeleton, unspecified

P14 Birth injury to peripheral nervous system

P14.0 Erb's paralysis due to birth injury P14.1 Klumpke's paralysis due to birth injury P14.2 Phrenic nerve paralysis due to birth injury P14.3 Other brachial plexus birth injuries P14.8 Birth injuries to other parts of peripheral nervous system P14.9 Birth injury to peripheral nervous system, unspecified

P15 Other birth injuries

P15.0 Birth injury to liver Rupture of liver due to birth injury P15.1 Birth injury to spleen Rupture of spleen due to birth injury P15.2 Sternomastoid injury due to birth injury P15.3 Birth injury to eye Subconjunctival haemorrhage Traumatic glaucoma P15.4 Birth injury to face due to birth injury Facial congestion due to birth injury P15.5 Birth injury to external genitalia P15.6 Subcutaneous fat necrosis due to birth injury P15.8 Other specified birth injuries P15.9 Birth injury, unspecified Respiratory and cardiovascular disorders specific to the perinatal period

(P20-P29)

P20

Intrauterine hypoxia

Includes: abnormal fetal heart rate fetal or intrauterine:

acidosis
anoxia
asphyxia
distress
hypoxia meconium in liquor

passage of meconium Excludes: intracranial haemorrhage due to anoxia or hypoxia (P52.-) P20.0 Intrauterine hypoxia first noted before onset of labour P20.1 Intrauterine hypoxia first noted during labour and delivery P20.9 Intrauterine hypoxia, unspecified

P21

Birth asphyxia

Note: This category is not to be used for low Apgar score without mention of asphyxia or other respiratory problems. Excludes: intrauterine hypoxia or asphyxia ( P20.- ) P21.0 Severe birth asphyxia Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent. Asphyxia with 1-minute Apgar score 0-3 White asphyxia P21.1 Mild and moderate birth asphyxia Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation. Asphyxia with 1-minute Apgar score 4-7 Blue asphyxia P21.9 Birth asphyxia, unspecified Anoxia Asphyxia Hypoxia NOS

P22

Respiratory distress of newborn

Excludes: respiratory failure of newborn ( P28.5 ) P22.0 Respiratory distress syndrome of newborn Hyaline membrane disease P22.1 Transient tachypnoea of newborn P22.8 Other respiratory distress of newborn P22.9 Respiratory distress of newborn, unspecified

P23

Congenital pneumonia

Includes: infective pneumonia acquired in utero or during birth Excludes: neonatal pneumonia resulting from aspiration ( P24.- ) P23.0 Congenital pneumonia due to viral agent Excludes: congenital rubella pneumonitis ( P35.0 ) P23.1 Congenital pneumonia due to Chlamydia P23.2 Congenital pneumonia due to staphylococcus P23.3 Congenital pneumonia due to streptococcus, group B P23.4 Congenital pneumonia due to Escherichia coli P23.5 Congenital pneumonia due to Pseudomonas P23.6 Congenital pneumonia due to other bacterial agents Haemophilus influenzae Klebsiella pneumoniae Mycoplasma Streptococcus, except group B P23.8 Congenital pneumonia due to other organisms P23.9 Congenital pneumonia, unspecified

P24 Neonatal aspiration syndromes

Includes: neonatal pneumonia resulting from aspiration P24.0 Neonatal aspiration of meconium P24.1 Neonatal aspiration of amniotic fluid and mucus Aspiration of liquor (amnii) P24.2 Neonatal aspiration of blood P24.3 Neonatal aspiration of milk and regurgitated food P24.8 Other neonatal aspiration syndromes P24.9 Neonatal aspiration syndrome, unspecified Neonatal aspiration pneumonia NOS

P25 Interstitial emphysema and related conditions originating in the perinatal period

P25.0 Interstitial emphysema originating in the perinatal period P25.1 Pneumothorax originating in the perinatal period P25.2 Pneumomediastinum originating in the perinatal period P25.3 Pneumopericardium originating in the perinatal period P25.8 Other conditions related to interstitial emphysema originating in the perinatal period

P26 Pulmonary haemorrhage originating in the perinatal period

P26.0 Tracheobronchial haemorrhage originating in the perinatal period P26.1 Massive pulmonary haemorrhage originating in the perinatal period P26.8 Other pulmonary haemorrhages originating in the perinatal period P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period

P27 Chronic respiratory disease originating in the perinatal period

P27.0 Wilson-Mikity syndrome Pulmonary dysmaturity P27.1 Bronchopulmonary dysplasia originating in the perinatal period P27.8 Other chronic respiratory diseases originating in the perinatal period Congenital pulmonary fibrosis Ventilator lung in newborn P27.9 Unspecified chronic respiratory disease originating in the perinatal period

P28 Other respiratory conditions originating in the perinatal period

Excludes: congenital malformations of the respiratory system ( Q30-Q34 ) P28.0 Primary atelectasis of newborn Primary failure to expand terminal respiratory units Pulmonary:

hypoplasia associated with short gestation
immaturity NOS

P28.1 Other and unspecified atelectasis of newborn Atelectasis:

NOS
partial
secondary

Resorption atelectasis without respiratory distress syndrome P28.2 Cyanotic attacks of newborn Excludes: apnoea of newborn ( P28.3-P28.4 ) P28.3 Primary sleep apnoea of newborn Sleep apnoea of newborn NOS P28.4 Other apnoea of newborn P28.5 Respiratory failure of newborn P28.8 Other specified respiratory conditions of newborn Congenital (laryngeal) stridor NOS Snuffles in newborn Excludes: early congenital syphilitic rhinitis ( A50.0 ) P28.9 Respiratory condition of newborn, unspecified

P29 Cardiovascular disorders originating in the perinatal period

Excludes: congenital malformations of the circulatory system ( Q20-Q28 ) P29.0 Neonatal cardiac failure P29.1 Neonatal cardiac dysrhythmia P29.2 Neonatal hypertension P29.3 Persistent fetal circulation Delayed closure of ductus arteriosus Pulmonary hypertension of newborn (persistent) P29.4 Transient myocardial ischaemia of newborn P29.8 Other cardiovascular disorders originating in the perinatal period P29.9 Cardiovascular disorder originating in the perinatal period, unspecified

Infections specific to the perinatal period (P35-P39)

Includes: infections acquired in utero or during birth Excludes: asymptomatic human immunodeficiency virus [HIV] infection status ( Z21 ) congenital:

gonococcal infection ( - )
pneumonia ( - )
syphilis ( - )

human immunodeficiency virus [HIV] disease ( B20-B24 ) infectious diseases acquired after birth ( A00-B99 , J10-J11 ) intestinal infectious diseases ( A00-A09 ) laboratory evidence of human immunodeficiency virus [HIV] ( R75 ) maternal infectious disease as a cause of mortality or morbidity in fetus or newborn not itself manifesting the disease ( P00.2 ) tetanus neonatorum ( A33 ) P35 Congenital viral diseases P35.0 Congenital rubella syndrome Congenital rubella pneumonitis P35.1 Congenital cytomegalovirus infection P35.2 Congenital herpesviral [herpes simplex] infection P35.3 Congenital viral hepatitis P35.8 Other congenital viral diseases Congenital varicella [chickenpox] P35.9 Congenital viral disease, unspecified

P36 Bacterial sepsis of newborn

Includes: congenital septicaemia P36.0 Sepsis of newborn due to streptococcus, group B P36.1 Sepsis of newborn due to other and unspecified streptococci P36.2 Sepsis of newborn due to Staphylococcus aureus P36.3 Sepsis of newborn due to other and unspecified staphylococci P36.4 Sepsis of newborn due to Escherichia coli P36.5 Sepsis of newborn due to anaerobes P36.8 Other bacterial sepsis of newborn P36.9 Bacterial sepsis of newborn, unspecified

P37

Other congenital infectious and parasitic diseases

Excludes: congenital syphilis ( A50.- ) necrotizing enterocolitis of fetus or newborn ( P77 ) neonatal diarrhoea:

infectious ( A00-A09 )
noninfective ( 3 )

ophthalmia neonatorum due to gonococcus ( A54.3 ) tetanus neonatorum ( A33 ) P37.0 Congenital tuberculosis P37.1 Congenital toxoplasmosis Hydrocephalus due to congenital toxoplasmosis P37.2 Neonatal (disseminated) listeriosis P37.3 Congenital falciparum malaria P37.4 Other congenital malaria P37.5 Neonatal candidiasis P37.8 Other specified congenital infectious and parasitic diseases P37.9 Congenital infectious and parasitic disease, unspecified

P38 Omphalitis of newborn with or without mild haemorrhage

P39

Other infections specific to the perinatal period P39.0 Neonatal infective mastitis Excludes: breast engorgement of newborn ( P83.4 ) noninfective mastitis of newborn ( P83.4 ) P39.1 Neonatal conjunctivitis and dacryocystitis Neonatal chlamydial conjunctivitis Ophthalmia neonatorum NOS Excludes: gonococcal conjunctivitis ( A54.3 ) P39.2 Intra-amniotic infection of fetus, not elsewhere classified P39.3 Neonatal urinary tract infection P39.4 Neonatal skin infection Neonatal pyoderma Excludes: pemphigus neonatorum ( L00 ) staphylococcal scalded skin syndrome ( L00 ) P39.8 Other specified infections specific to the perinatal period P39.9 Infection specific to the perinatal period, unspecified Haemorrhagic and haematological disorders of fetus and newborn

(P50-P61)

Excludes: congenital stenosis and stricture of bile ducts ( Q44.3 ) Crigler-Najjar syndrome ( E80.5 ) Dubin-Johnson syndrome ( E80.6 ) Gilbert's syndrome ( E80.4 ) hereditary haemolytic anaemias ( D55-D58 )

P50 Fetal blood loss

Excludes: congenital anaemia from fetal blood loss ( P61.3 ) P50.0 Fetal blood loss from vasa praevia P50.1 Fetal blood loss from ruptured cord P50.2 Fetal blood loss from placenta P50.3 Haemorrhage into co-twin P50.4 Haemorrhage into maternal circulation P50.5 Fetal blood loss from cut end of co-twin's cord P50.8 Other fetal blood loss P50.9 Fetal blood loss, unspecified Fetal haemorrhage NOS

P51

Umbilical haemorrhage of newborn

Excludes: omphalitis with mild haemorrhage ( P38 ) P51.0 Massive umbilical haemorrhage of newborn P51.8 Other umbilical haemorrhages of newborn Slipped umbilical ligature NOS P51.9 Umbilical haemorrhage of newborn, unspecified

P52

Intracranial nontraumatic haemorrhage of fetus and newborn

Includes: intracranial haemorrhage due to anoxia or hypoxia Excludes: intracranial haemorrhage due to injury:

birth ( - )
maternal ( 5 )
other ( - )

P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn Subependymal haemorrhage (without intraventricular extension) P52.1 Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn Subependymal haemorrhage with intraventricular extension P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3, of fetus and newborn Subependymal haemorrhage with both intraventricular and intracerebral extension P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and newborn P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

P53

Haemorrhagic disease of fetus and newborn

Vitamin K deficiency of newborn

P54

Other neonatal haemorrhages

Excludes: fetal blood loss ( P50.- ) pulmonary haemorrhage originating in the perinatal period ( P26.- ) P54.0 Neonatal haematemesis Excludes: that due to swallowed maternal blood ( P78.2 ) P54.1 Neonatal melaena Excludes: that due to swallowed maternal blood ( P78.2 ) P54.2 Neonatal rectal haemorrhage P54.3 Other neonatal gastrointestinal haemorrhage P54.4 Neonatal adrenal haemorrhage P54.5 Neonatal cutaneous haemorrhage Bruising Ecchymoses Petechiae Superficial haematomata in fetus or newborn Excludes: bruising of scalp due to birth injury ( P12.3 ) cephalhaematoma due to birth injury ( P12.0 ) P54.6 Neonatal vaginal haemorrhage Pseudomenses P54.8 Other specified neonatal haemorrhages P54.9 Neonatal haemorrhage, unspecified

P55 Haemolytic disease of fetus and newborn

P55.0 Rh isoimmunization of fetus and newborn P55.1 ABO isoimmunization of fetus and newborn P55.8 Other haemolytic diseases of fetus and newborn P55.9 Haemolytic disease of fetus and newborn, unspecified

P56

Hydrops fetalis due to haemolytic disease

Excludes: hydrops fetalis NOS ( P83.2 )

not due to haemolytic disease ( 2 )

P56.0 Hydrops fetalis due to isoimmunization P56.9 Hydrops fetalis due to other and unspecified haemolytic disease

P57

Kernicterus

P57.0 Kernicterus due to isoimmunization P57.8 Other specified kernicterus Excludes: Crigler-Najjar syndrome ( E80.5 ) P57.9 Kernicterus, unspecified

P58

Neonatal jaundice due to other excessive haemolysis

Excludes: jaundice due to isoimmunization ( P55-P57 ) P58.0 Neonatal jaundice due to bruising P58.1 Neonatal jaundice due to bleeding P58.2 Neonatal jaundice due to infection P58.3 Neonatal jaundice due to polycythaemia P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced. P58.5 Neonatal jaundice due to swallowed maternal blood P58.8 Neonatal jaundice due to other specified excessive haemolysis P58.9 Neonatal jaundice due to excessive haemolysis, unspecified

P59

Neonatal jaundice from other and unspecified causes

Excludes: due to inborn errors of metabolism ( E70-E90 ) kernicterus ( P57.- ) P59.0 Neonatal jaundice associated with preterm delivery Hyperbilirubinaemia of prematurity Jaundice due to delayed conjugation associated with preterm delivery P59.1 Inspissated bile syndrome P59.2 Neonatal jaundice from other and unspecified hepatocellular damage Fetal or neonatal (idiopathic) hepatitis Giant cell hepatitis Excludes: congenital viral hepatitis ( P35.3 ) P59.3 Neonatal jaundice from breast milk inhibitor P59.8 Neonatal jaundice from other specified causes P59.9 Neonatal jaundice, unspecified Physiological jaundice (intense)(prolonged) NOS

P60

Disseminated intravascular coagulation of fetus and newborn

Defibrination syndrome of fetus or newborn

P61 Other perinatal haematological disorders

Excludes: transient hypogammaglobulinaemia of infancy (D80.7 ) P61.0 Transient neonatal thrombocytopenia Neonatal thrombocytopenia due to:

exchange transfusion
idiopathic maternal thrombocytopenia
isoimmunization

P61.1 Polycythaemia neonatorum P61.2 Anaemia of prematurity P61.3 Congenital anaemia from fetal blood loss P61.4 Other congenital anaemias, not elsewhere classified Congenital anaemia NOS P61.5 Transient neonatal neutropenia P61.6 Other transient neonatal disorders of coagulation P61.8 Other specified perinatal haematological disorders P61.9 Perinatal haematological disorder, unspecified Transitory endocrine and metabolic disorders specific to fetus and newborn

(P70-P74)

Includes: transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine existence

P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn

P70.0 Syndrome of infant of mother with gestational diabetes Fetus or newborn (with hypoglycaemia) affected by maternal gestational diabetes P70.1 Syndrome of infant of a diabetic mother Fetus or newborn (with hypoglycemia) affected by maternal diabetes mellitus (pre-existing) P70.2 Neonatal diabetes mellitus P70.3 Iatrogenic neonatal hypoglycaemia P70.4 Other neonatal hypoglycaemia Transitory neonatal hypoglycaemia P70.8 Other transitory disorders of carbohydrate metabolism of fetus and newborn P70.9 Transitory disorder of carbohydrate metabolism of fetus and newborn, unspecified

P71 Transitory neonatal disorders of calcium and magnesium metabolism

P71.0 Cow's milk hypocalcaemia in newborn P71.1 Other neonatal hypocalcaemia Excludes: neonatal hypoparathyroidism ( P71.4 ) P71.2 Neonatal hypomagnesaemia P71.3 Neonatal tetany without calcium or magnesium deficiency Neonatal tetany NOS 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

Excludes: congenital hypothyroidism with or without goiter ( E03.0-E03.1 ) dyshormogenetic goitre ( E07.1 ) Pendred's syndrome ( E07.1 ) P72.0 Neonatal goitre, not elsewhere classified Transitory congenital goitre with normal function P72.1 Transitory neonatal hyperthyroidism Neonatal thyrotoxicosis P72.2 Other transitory neonatal disorders of thyroid function, not elsewhere classified Transitory neonatal hypothyroidism 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 P74.3 Disturbances of potassium balance of newborn P74.4 Other transitory electrolyte disturbances of newborn P74.5 Transitory tyrosinaemia of newborn P74.8 Other transitory metabolic disturbances of newborn P74.9 Transitory metabolic disturbance of newborn, unspecified

Digestive system disorders of fetus and newborn (P75-P78)

P75*

Meconium ileus in cystic fibrosis ( E84.1† )

P76

Other intestinal obstruction of newborn

P76.0 Meconium plug syndrome Includes: meconium ileus in cases where cystic fibrosis is known not to be present P76.1 Transitory ileus of newborn Excludes: Hirschsprung's disease ( Q43.1 ) P76.2 Intestinal obstruction due to inspissated milk P76.8 Other specified intestinal obstruction of newborn Excludes: intestinal obstruction classifiable to K56.0-K56.5 P76.9 Intestinal obstruction of newborn, unspecified

P78

P77

Necrotizing enterocolitis of fetus and newborn Other perinatal digestive system disorders

Excludes: neonatal gastrointestinal haemorrhages ( P54.0-P54.3 ) P78.0 Perinatal intestinal perforation Meconium peritonitis P78.1 Other neonatal peritonitis Neonatal peritonitis NOS P78.2 Neonatal haematemesis and melaena due to swallowed maternal blood P78.3 Noninfective neonatal diarrhoea Neonatal diarrhoea NOS Excludes: neonatal diarrhoea NOS in countries where the condition can be presumed to be of infectious origin ( A09 ) P78.8 Other specified perinatal digestive system disorders Congenital cirrhosis (of liver) Neonatal oesophageal reflux Peptic ulcer of newborn P78.9 Perinatal digestive system disorder, unspecified

Conditions involving the integument and temperature regulation of fetus and newborn (P80-P83)

P80

Hypothermia of newborn

P80.0 Cold injury syndrome Severe and usually chronic hypothermia associated with a pink flushed appearance, oedema and neurological and biochemical abnormalities. Excludes: mild hypothermia of newborn ( P80.8 ) P80.8 Other hypothermia of newborn Mild hypothermia of newborn P80.9 Hypothermia of newborn, unspecified

P81 Other disturbances of temperature regulation of newborn

P81.0 Environmental hyperthermia of newborn P81.8 Other specified disturbances of temperature regulation of newborn P81.9 Disturbance of temperature regulation of newborn, unspecified Fever of newborn NOS

P83 Other conditions of integument specific to fetus and newborn

Excludes: congenital malformations of skin and integument ( Q80-Q84 ) cradle cap ( L21.0 ) diaper [napkin] dermatitis ( L22 ) hydrops fetalis due to haemolytic disease ( P56.- ) neonatal skin infection ( P39.4 ) staphylococcal scalded skin syndrome ( L00 ) P83.0 Sclerema neonatorum P83.1 Neonatal erythema toxicum P83.2 Hydrops fetalis not due to haemolytic disease Hydrops fetalis NOS P83.3 Other and unspecified oedema specific to fetus and newborn P83.4 Breast engorgement of newborn Noninfective mastitis of newborn P83.5 Congenital hydrocele P83.6 Umbilical polyp of newborn P83.8 Other specified conditions of integument specific to fetus and newborn Bronze baby syndrome Neonatal scleroderma Urticaria neonatorum P83.9 Condition of integument specific to fetus and newborn, unspecified

Other disorders originating in the perinatal period (P90-P96)

P90 Convulsions of newborn

Excludes: benign neonatal convulsions (familial) ( G40.3 )

P91

Other disturbances of cerebral status of newborn

P91.0 Neonatal cerebral ischaemia 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 ischaemic encephalopathy of newborn P91.8 Other specified disturbances of cerebral status of newborn P91.9 Disturbance of cerebral status of newborn, unspecified

P92

Feeding problems of newborn

P92.0 Vomiting in newborn P92.1 Regurgitation and rumination in newborn P92.2 Slow feeding of newborn P92.3 Underfeeding of newborn P92.4 Overfeeding of newborn P92.5 Neonatal difficulty in feeding at breast P92.8 Other feeding problems of newborn P92.9 Feeding problem of newborn, unspecified

P93 Reactions and intoxications due to drugs administered to fetus and newborn

Grey syndrome from chloramphenicol administration in newborn Excludes: jaundice due to drugs or toxins transmitted from mother or given to newborn ( P58.4 ) reactions and intoxications from maternal opiates, tranquillizers and other medication ( P04.0-P04.1 , P04.4 ) withdrawal symptoms from:

maternal use of drugs of addiction ( 1 )
therapeutic use of drugs in newborn ( 2 )

P94 Disorders of muscle tone of newborn

P94.0 Transient neonatal myasthenia gravis Excludes: myasthenia gravis ( G70.0 ) P94.1 Congenital hypertonia P94.2 Congenital hypotonia Nonspecific floppy baby syndrome P94.8 Other disorders of muscle tone of newborn P94.9 Disorder of muscle tone of newborn, unspecified

P95

Fetal death of unspecified cause

Deadborn fetus NOS Stillbirth NOS

P96 Other conditions originating in the perinatal period

P96.0 Congenital renal failure Uraemia of newborn P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction Drug withdrawal syndrome in infant of dependent mother Neonatal abstinence syndrome Excludes: reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery ( P04.0 ) P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn P96.3 Wide cranial sutures of newborn Neonatal craniotabes P96.4 Termination of pregnancy, affecting fetus and newborn Excludes: termination of pregnancy (affecting mother) ( O04.- ) P96.5 Complications of intrauterine procedures, not elsewhere classified P96.8 Other specified conditions originating in the perinatal period P96.9 Condition originating in the perinatal period, unspecified Congenital debility NOS