Skip to main content

P03.1 ICD-10-CM Code: Newborn affected by other malpresentation, malposition and disproportion during labor and delivery

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

Coding at a Glance

Tabular directives
4 inclusion terms · 1 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.

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 P03.1 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on P03.1 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 contracted pelvis
  • Newborn affected by conditions classifiable to O64-O66
  • Newborn affected by persistent occipitoposterior
  • Newborn affected by transverse lie

Excludes2 — Not Included Here

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

Source: inherited from P03

Code First

Underlying conditions that must be sequenced before this code.

  • any current condition in newborn

Source: inherited from P03

Coder workflow for P03.1

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

Choose the right path

  1. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then P03.1.
    No → Continue; do not add an underlying condition the record does not document.

Consider P03.1. 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).

Official instructions as workflow

  • Excludes2 — not part of P03.1(1 note)

    Coding workflow: The conditions named in this note are not included in P03.1. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareZ05

    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 P03.1. 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: 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 malpresentation, malposition and disproportion during labor and delivery is a billable ICD-10-CM diagnosis code (P03.1).

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 (3)

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.

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

Other codes that name P03.1 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: P00.7 — Newborn affected by other medical procedures on mother, not elsewhere classified (via P03.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

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 795 (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).

P02.4 — Newborn affected by prolapsed cord, P02.5 — Newborn affected by other compression of umbilical cord, P02.60 — Newborn affected by unspecified conditions of umbilical cord, P02.69 — Newborn affected by other conditions of umbilical cord, P02.7 — Newborn affected by chorioamnionitis, P02.70 — Newborn affected by fetal inflammatory response syndrome, P02.78 — Newborn affected by other conditions from chorioamnionitis, P02.8 — Newborn affected by other abnormalities of membranes, P02.9 — Newborn affected by abnormality of membranes, unspecified, P03.0 — Newborn affected by breech delivery and extraction, P03.2 — Newborn affected by forceps delivery, P03.3 — Newborn affected by delivery by vacuum extractor [ventouse], P03.4 — Newborn affected by Cesarean delivery, P03.5 — Newborn affected by precipitate delivery, P03.6 — Newborn affected by abnormal uterine contractions, P03.810 — Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of labor, P03.811 — Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor, P03.819 — Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onset, P03.82 — Meconium passage during delivery, P03.89 — Newborn affected by other specified complications of labor and delivery, +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.

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), P02.60 — Newborn affected by unspecified conditions of umbilical cord (affected by, umbilical cord condition), P02.69 — Newborn affected by other conditions of umbilical cord (affected by, vasa previa), P02.70 — Newborn affected by fetal inflammatory response syndrome (affected by, FIRS), P02.78 — Newborn affected by other conditions from chorioamnionitis (affected by, amnionitis), P02.8 — Newborn affected by other abnormalities of membranes (affected by, membrane abnormalities, specified NEC), P02.9 — Newborn affected by abnormality of membranes, unspecified (affected by, membrane abnormalities), P04.0 — Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery (affected by, maternal, analgesia), P04.11 — Newborn affected by maternal antineoplastic chemotherapy (affected by, chemotherapy agents), P04.12 — Newborn affected by maternal cytotoxic drugs (affected by, maternal, cytotoxic drugs), P04.13 — Newborn affected by maternal use of anticonvulsants (affected by, maternal, anticonvulsants), P04.14 — Newborn affected by maternal use of opiates (affected by, maternal, opiates), P04.15 — Newborn affected by maternal use of antidepressants (affected by, maternal, antidepressants), P04.16 — Newborn affected by maternal use of amphetamines (affected by, maternal, amphetamines), P04.17 — Newborn affected by maternal use of sedative-hypnotics (affected by, maternal, sedative-hypnotics), P04.18 — Newborn affected by other maternal medication (affected by, maternal, medication, specified type NEC), P04.19 — Newborn affected by maternal use of unspecified medication (affected by, medication), +146 more

Contextual Map

Every relationship of P03.1 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 P03.1 with this related code in Claim Check

Hierarchy

Referenced by Excludes1 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

  • Dystocia, affecting newborn[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Newborn (infant) (liveborn) (singleton), affected by, contracted pelvis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Newborn (infant) (liveborn) (singleton), affected by, malpresentation NEC (malposition)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (15)

Change history (2)

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 malpresentation, malposition and disproportion during labor and delivery → Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
    FY2017 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Newborn (suspected to be) affected by other malpresentation, malposition and disproportion during labor and delivery

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P03.1 in its code family, with their registry titles.

View all codes in the P03 family