Skip to main content

P00.7 ICD-10-CM Code: Newborn affected by other medical procedures on mother, not elsewhere classified

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 2 Excludes1 · 4 Excludes2 · 1 code-first instruction

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P00.7 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on P00.7 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Newborn affected by radiation to mother

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from P00

Code First

Underlying conditions that must be sequenced before this code.

  • any current condition in newborn

Source: inherited from P00

Coder workflow for P00.7

MedCoder structured workflow — derived from this code’s own official record

Before you code P00.7

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on P00.7; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    ReviewP00.0, P00.1, P00.2, P00.3, P00.4, P00.5, P00.6, P00.8

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with P00.7. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in P00.7’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP02.1, P03

  2. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then P00.7.
    No → Continue; do not add an underlying condition the record does not document.

Consider P00.7. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting P00.7(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with P00.7: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP02.1, P03

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of P00.7(4 notes)

    Coding workflow: The conditions named in this note are not included in P00.7. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareZ05, P01, P04

    See the official tabular notes · Guidelines I.A.12.b

  • Code First — sequencing check(1 note)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before P00.7. Do not add an underlying condition the record does not document.

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition P00.7 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP02.1, P03

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Newborn affected by other medical procedures on mother, not elsewhere classified is a billable ICD-10-CM diagnosis code (P00.7).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. Sequencing: 1 Code First instruction — the underlying condition is sequenced before this code when present. See the Code First notes
  2. 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 4 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 1 MS-DRG: DRG 794 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):PNL010 — Newborn affected by maternal conditions or complications of labor/delivery (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Newborn affected by maternal conditions or complications of labor/delivery).

P00.0 — Newborn affected by maternal hypertensive disorders, P00.1 — Newborn affected by maternal renal and urinary tract diseases, P00.2 — Newborn affected by maternal infectious and parasitic diseases, P00.3 — Newborn affected by other maternal circulatory and respiratory diseases, P00.4 — Newborn affected by maternal nutritional disorders, P00.5 — Newborn affected by maternal injury, P00.6 — Newborn affected by surgical procedure on mother, P00.81 — Newborn affected by periodontal disease in mother, P00.82 — Newborn affected by (positive) maternal group B streptococcus (GBS) colonization, P00.89 — Newborn affected by other maternal conditions, P00.9 — Newborn affected by unspecified maternal condition, P01.0 — Newborn affected by incompetent cervix, P01.1 — Newborn affected by premature rupture of membranes, P01.2 — Newborn affected by oligohydramnios, P01.3 — Newborn affected by polyhydramnios, P01.4 — Newborn affected by ectopic pregnancy, P01.5 — Newborn affected by multiple pregnancy, P01.6 — Newborn affected by maternal death, P01.7 — Newborn affected by malpresentation before labor, P01.8 — Newborn affected by other maternal complications of pregnancy, +53 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Newborn”; these codes share that main term but sit in a different category of the Tabular List.

I42.4 — Endocardial fibroelastosis (affected by, cardiomyopathy, congenital), I42.89 — Other cardiomyopathies not elsewhere classified (affected by, cardiomyopathy), L70.4 — Infantile acne (acne), P01.0 — Newborn affected by incompetent cervix (affected by, maternal, incompetent cervix), P01.1 — Newborn affected by premature rupture of membranes (affected by, maternal, premature rupture of membranes), P01.2 — Newborn affected by oligohydramnios (affected by, maternal, oligohydramnios), P01.3 — Newborn affected by polyhydramnios (affected by, maternal, polyhydramnios), P01.4 — Newborn affected by ectopic pregnancy (affected by, maternal, ectopic pregnancy), P01.5 — Newborn affected by multiple pregnancy (affected by, maternal, multiple pregnancy), P01.6 — Newborn affected by maternal death (affected by, maternal, maternal death), P01.7 — Newborn affected by malpresentation before labor (affected by, maternal, malpresentation before labor), P01.8 — Newborn affected by other maternal complications of pregnancy (affected by, maternal, pregnancy, specified), P01.9 — Newborn affected by maternal complication of pregnancy, unspecified (affected by, maternal, pregnancy), P02.0 — Newborn affected by placenta previa (affected by, placenta previa), P02.1 — Newborn affected by other forms of placental separation and hemorrhage (affected by, hemorrhage), P02.20 — Newborn affected by unspecified morphological and functional abnormalities of placenta (affected by, placental, abnormality), P02.29 — Newborn affected by other morphological and functional abnormalities of placenta (affected by, placental, infarction), P02.3 — Newborn affected by placental transfusion syndromes (affected by, placental, transfusion syndromes), P02.4 — Newborn affected by prolapsed cord (affected by, prolapsed cord), P02.5 — Newborn affected by other compression of umbilical cord (affected by, umbilical cordaround neck), +137 more

Contextual Map

Every relationship of P00.7 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run P00.7 with these 2 related codes in Claim Check

Hierarchy

Excludes1

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

  • Newborn (infant) (liveborn) (singleton), affected by, maternal (complication of) (use of), medical procedure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (13)

Change history (3)

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2017 — October 1, 2016
    Description revised
    Newborn (suspected to be) affected by other medical procedures on mother, not elsewhere classified → Newborn affected by other medical procedures on mother, not elsewhere classified
    FY2017 changes
  • FY2017 — October 1, 2016
    Short description revised
    Newborn affected by oth medical procedures on mother, NEC → Newborn affected by other medical procedures on mother, NEC
    FY2017 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Newborn (suspected to be) affected by other medical procedures on mother, not elsewhere classified

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P00.7 in its code family, with their registry titles.

View all codes in the P00 family