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ICD-10/P03.81

P03.81 ICD-10-CM Code: Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm is a non-billable ICD-10-CM category code (P03.81). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for P03.81 in the official ICD-10-CM tabular list.

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.

Code First

Underlying conditions that must be sequenced before this code.

  • any current condition in newborn

Change history

  • FY2017 — 2016-10-01
    Description revised
    Newborn (suspected to be) affected by abnormality in fetal (intrauterine) heart rate or rhythm → Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm
    FY2017 changes

Verify Before Coding

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

Contextual Map

Every relationship of P03.81 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.

Hierarchy

  • P00-P96 — Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) (P00-P96) [Hierarchy]
  • P00-P04 — Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery [Hierarchy]

Excludes1

  • P29.1 — Neonatal cardiac dysrhythmia [Excludes1]: “neonatal cardiac dysrhythmia (P29.1-)” · check together

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.-)” · check together

Nearest codes (15)

  • P03 — Newborn affected by other complications of labor and delivery [Sibling]
  • P03.0 — Newborn affected by breech delivery and extraction [Sibling]
  • P03.1 — Newborn affected by other malpresentation, malposition and disproportion during labor and delivery [Sibling]
  • P03.2 — Newborn affected by forceps delivery [Sibling]
  • P03.3 — Newborn affected by delivery by vacuum extractor [ventouse] [Sibling]
  • P03.4 — Newborn affected by Cesarean delivery [Sibling]
  • P03.5 — Newborn affected by precipitate delivery [Sibling]
  • P03.6 — Newborn affected by abnormal uterine contractions [Sibling]
  • and 7 more

Change history

  • FY2017 — Description revised [Change history]

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name P03.81 or its code family.

1 Excludes1 notes: P00.7 (via P03.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can P03.81 be billed directly?

No. P03.81 (Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P03.81 in its code family, with their registry titles.

  • 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
  • P03.8 — Newborn affected by other specified complications of labor and 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

View all codes in the P03 family