P03.6 ICD-10-CM Code: Newborn affected by abnormal uterine contractions
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Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 3 inclusion terms · 1 Excludes2 · 1 code-first instruction
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
- Code firstSequence the underlying condition before this code
- any current condition in newborn
- Excludes2Not included here; may be reported together
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
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 v44, 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 P03.6 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on P03.6 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-) Compare P03.6 vs Z05 →
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 P03.6
MedCoder structured workflow — derived from this code’s own official record
Choose the right path
- Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then P03.6.
No → Continue; do not add an underlying condition the record does not document.
Consider P03.6. 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 P03.6(1 note)
Coding workflow: The conditions named in this note are not included in P03.6. 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 P03.6. 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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
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-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name P03.6 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 (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
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).
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, P03.1 — Newborn affected by other malpresentation, malposition and disproportion during labor and delivery, 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, P03.810 — 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, P03.9 — Newborn affected by complication of labor and delivery, unspecified, P04.0 — Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery, P04.1 — Newborn affected by other maternal medication, P04.11 — Newborn affected by maternal antineoplastic chemotherapy, P04.12 — Newborn affected by maternal cytotoxic drugs, +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 P03.6 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 P03.6 with this related code in Claim Check
Hierarchy
- P00-P96 — Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) (P00-P96)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P00-P04 — Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- P00.7 — Newborn affected by other medical procedures on mother, not elsewhere classified[Excludes1](via P03.-): “newborn affected by other complications of labor and delivery (P03.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- PNL010 — Newborn affected by maternal conditions or complications of labor/delivery[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS[MS-DRG]: “NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Dystocia, cervical (hypotonic), affecting newborn[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Newborn (infant) (liveborn) (singleton), affected by, maternal (complication of) (use of), uterine contraction (abnormal)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Newborn (infant) (liveborn) (singleton), affected by, uterine contractions (abnormal)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (15)
- P03 — Newborn affected by other complications of labor and delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.0 — Newborn affected by breech delivery and extraction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.1 — Newborn affected by other malpresentation, malposition and disproportion during labor and delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.2 — Newborn affected by forceps delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.3 — Newborn affected by delivery by vacuum extractor [ventouse][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.4 — Newborn affected by Cesarean delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.5 — Newborn affected by precipitate delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P03.8 — Newborn affected by other specified complications of labor and delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 7 more
Change history (2)
- FY2017 — Description revised[Change history]— CMS release files (code change ledger) · icd10cm-fy2017
- and 1 more
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
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.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 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 — v44 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "P03.6 — Newborn affected by abnormal uterine contractions." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/p03.6-newborn-affected-by-abnormal-uterine-contractions
Change history
- FY2017 — October 1, 2016Description revisedNewborn (suspected to be) affected by abnormal uterine contractions → Newborn affected by abnormal uterine contractionsFY2017 changes
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionNewborn (suspected to be) affected by abnormal uterine contractions
Nearest Codes in This Family
Official ICD-10-CM classifications closest to P03.6 in its code family, with their registry titles.
- P03.1 — Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
- 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
- P03.8 — Newborn affected by other specified complications of labor and delivery
- P03.81 — Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm
- 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