Table 9 Codes to identify NICU admission, gestational age estimation and newborn clinical conditions
Descriptions | ICD-9-CM | ICD-10-CM | CPT/ Revenue codes |
|---|---|---|---|
Neonatal Intensive Care Unit (NICU) | |||
Level 1 | Revenue: 171 | ||
Level 2 | Revenue: 172 | ||
Level 3 | Revenue: 173 | ||
Level 4 | Revenue: 174 | ||
Prenatal tests and preterm codes for gestational age estimation | |||
Oral glucose tolerance test (OGTT) | 82950, 82951, 82952 | ||
Alpha-fetoprotein (AFP) | 82105 | ||
Inhibin-A (IHA) | 86336 | ||
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination | 76801,76802,76805,76810, 76811,76812,76813,76814, 76815,76816,76817,76818, 76819,76820 | ||
Pregnancy-associated protein plasma-A (PAPP-A) | 84163 | ||
Chorionic villus sampling | 59015 | ||
Preterm 35–37 weeks | 765.28 | P07.38, P07.39 | |
Preterm < 35 weeks | 765.21, 765.22, 765.23, 765.24, 765.25,765.26, 765.27 | P07.21, P07.22, P07.23, P07.24, P07.25, P07.26, P07.31, P07.32, P07.33, P07.34, P07.35, P07.36, P07.37 | |
Preterm unspecified | 765.20, | P07.20, P07.30, | |
P07.0x, P07.1x, | |||
644.2x | O60.1x | ||
Newborn clinical conditions | |||
Birth trauma and/or hemorrhage (associated with the development of potential jaundice from bleeding) | 864.00–864.05,864.09, 865.00–865.04,865.09, 767.0,767.11,770.3, 772.10–772.14, 772.2–772.9 | P10x,P12.0x,P12.1x, P12.3x,P15.0x, P15.1x,P26x, P52x, P53x, P54x | |
Polycythemia neonatorum | 776.4 | P61.1x | |
Neonatal hematemesis and melena due to swallowed maternal blood | 777.3 | P78.2x | |
Breech delivery and extraction affecting fetus or newborn | 763.0 | P03.0x | |
Forceps delivery affecting fetus or newborn | 763.2 | P03.2x | |
Delivery by vacuum extractor affecting fetus or newborn | 763.3 | P03.3x | |
Other malpresentation, malposition, and disproportion during labor and delivery affecting fetus or newborn | 763.1 | P03.1x | |
Newborn neurodevelopmental disorders | |||
Developmental delay | 299.xx, 315.8, 315.9, 330.8 | F84x, F88x, F89x | |
Cognitive disorders (nonspecific) | 310.9x | F09x | |
Language disorder (or speed disorder, dysarthria) | 315.3x | F80x | |
Motion dysfunction | 315.4x, 781.2, 719.7, 781.3, | F82x, R26x, R27x | |
Cerebral palsy | 343.x, 333.71, | G80x | |
Abnormal behavior | 314.x, 312.x, 309.21, 313.x, 307.x, | F90x-F98x | |
Bilirubin encephalopathy (kernicterus spectrum disorder) | 773.4, 774.7 | P57x | |
Encephalopathy | 348.3x | G93.4x | |
Hearing loss | 389.xx, 388.01, 388.2388.11 | H90x, H91x | |
Vision loss | 368.xx | H53x | |