ICD-10 Chapter XVI: Certain conditions originating in the perinatal period

This is a shortened version of the sixteenth chapter of the ICD-10: Certain conditions originating in the perinatal period. It covers ICD codes P00.0 to P96.9. All versions of the ICD-10, including the most recent one (2019), can be browsed freely on the website of the World Health Organisation (WHO). The ICD-10 can also be downloaded in PDF-form.

ICD-10 chapters
Chapter Block Title
I A00–B99 Certain infectious and parasitic diseases
II C00–D48 Neoplasms
III D50–D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
IV E00–E90 Endocrine, nutritional and metabolic diseases
V F00–F99 Mental and behavioural disorders
VI G00–G99 Diseases of the nervous system
VII H00–H59 Diseases of the eye and adnexa
VIII H60–H95 Diseases of the ear and mastoid process
IX I00–I99 Diseases of the circulatory system
X J00–J99 Diseases of the respiratory system
XI K00–K93 Diseases of the digestive system
XII L00–L99 Diseases of the skin and subcutaneous tissue
XIII M00–M99 Diseases of the musculoskeletal system and connective tissue
XIV N00–N99 Diseases of the genitourinary system
XV O00–O99 Pregnancy, childbirth and the puerperium
XVI P00–P96 Certain conditions originating in the perinatal period
XVII Q00–Q99 Congenital malformations, deformations and chromosomal abnormalities
XVIII R00–R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
XIX S00–T98 Injury, poisoning and certain other consequences of external causes
XX V01–Y98 External causes of morbidity and mortality
XXI Z00–Z99 Factors influencing health status and contact with health services
XXII U00–U99 Codes for special purposes

Examples of conditions captured using codes from Chapter XVI include birth injuries, prematurity, neonatal jaundice, and neonatal withdrawal. For coding and reporting purposes, the perinatal period is defined as before birth through the 28th day following birth.[1]

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00–P04)
  • P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy
  • P01 Fetus and newborn affected by maternal complications of pregnancy
  • P02 Fetus and newborn affected by complications of placenta, cord and membranes
    • P02.0 Fetus and newborn affected by placenta praevia
    • P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage
    • P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta
    • P02.3 Fetus and newborn affected by placental transfusion syndromes
      • Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
    • P02.4 Fetus and newborn affected by prolapsed cord
    • P02.5 Fetus and newborn affected by other compression of umbilical cord
    • P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord
    • P02.7 Fetus and newborn affected by chorioamnionitis
    • P02.8 Fetus and newborn affected by other abnormalities of membranes
    • P02.9 Fetus and newborn affected by abnormality of membranes, unspecified
  • P03 Fetus and newborn affected by other complications of labour and delivery
  • P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Birth trauma (P10–P15)

Respiratory and cardiovascular disorders specific to the perinatal period (P20–P29)

Infections specific to the perinatal period (P35–P39)

Haemorrhagic and haematological disorders of fetus and newborn (P50–P61)

Transitory endocrine and metabolic disorders specific to fetus and newborn (P70–P74)

Digestive system disorders of fetus and newborn (P75–P78)

Conditions involving the integument and temperature regulation of fetus and newborn (P80–P83)

Other disorders originating in the perinatal period (P90–P96)
  • P90 Convulsions of newborn
  • P91 Other disturbances of cerebral status of newborn
    • P91.0 Neonatal cerebral ischaemia
    • P91.1 Acquired periventricular cysts of newborn
    • P91.2 Neonatal cerebral leukomalacia
    • P91.3 Neonatal cerebral irritability
    • P91.4 Neonatal cerebral depression
    • P91.5 Neonatal coma
    • P91.6 Hypoxic ischaemic encephalopathy of newborn
    • P91.8 Other specified disturbances of cerebral status of newborn
    • P91.9 Disturbance of cerebral status of newborn, unspecified
  • P92 Feeding problems of newborn
  • P93 Reactions and intoxications due to drugs administered to fetus and newborn
  • P94 Disorders of muscle tone of newborn
  • P95 Fetal death of unspecified cause
  • P96 Other conditions originating in the perinatal period
    • P96.0 Congenital renal failure
    • P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
    • P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn
    • P96.3 Wide cranial sutures of newborn
    • P96.4 Termination of pregnancy, fetus and newborn
    • P96.5 Complications of intrauterine procedures, not elsewhere classified
    • P96.8 Other specified conditions originating in the perinatal period
    • P96.9 Condition originating in the perinatal period, unspecified

Excludes
  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • Endocrine, nutritional, and metabolic diseases (E00-E88)
  • Injury, poisoning and certain other consequences of external causes (S00-T88)
  • Neoplasms (C00-D49)
  • Tetanus neonatorum (A33)

References
  1. OPTUM 360 2017 ICD-10-CM Expert for Hospitals The complete official code set Codes valid October 1, 2016 through September 30, 2017 page 847.
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