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ICD-10/P03.811

P03.811 ICD-10-CM Code: Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor

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

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, 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.

Official Registry Overview & Definition

Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor is a billable ICD-10-CM diagnosis code (P03.811).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for P03.811 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 during labor → Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during labor
    FY2017 changes

Verify Before Coding

  • Billable — reportable as written.

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 P03.811 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]

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

Clinical classification (CCSR)

  • PNL010 — Newborn affected by maternal conditions or complications of labor/delivery [CCSR]

Potential MS-DRG

  • DRG 794 — NEONATE WITH OTHER SIGNIFICANT PROBLEMS [MS-DRG]: “NEONATE WITH OTHER SIGNIFICANT PROBLEMS (MDC 15)”

MDC crossing · procedures

  • 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.”

Index entries

  • Arrhythmia (auricle)(cardiac)(juvenile)(nodal)(reflex)(supraventricular)(transitory)(ventricle), newborn, occurring before birth, during labor[Index term]
  • Dysrhythmia, cardiac, newborn, occurring before birth, during labor[Index term]
  • Newborn (infant) (liveborn) (singleton), affected by, heart rate abnormalities, intrauterine, during labor[Index term]

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

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.

Potential MS-DRG Relationships (FY2026)

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.

Official ICD-10-CM tabular notes on other codes that name P03.811 or its code family.

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P03.811 in its code family, with their registry titles.

  • 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
  • P03.81 — 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
  • P03.819 — 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

View all codes in the P03 family

Indexed Clinical Terms (3)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Arrhythmia (auricle)(cardiac)(juvenile)(nodal)(reflex)(supraventricular)(transitory)(ventricle), newborn, occurring before birth, during labor
  • Dysrhythmia, cardiac, newborn, occurring before birth, during labor
  • Newborn (infant) (liveborn) (singleton), affected by, heart rate abnormalities, intrauterine, during labor