ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P00 includes newborn conditions caused by maternal diseases, infections, exposures, or other maternal factors that may be unrelated to the present pregnancy, such as maternal infections, diabetes, or toxic exposures affecting the neonate. These ICD-10-CM diagnosis codes are used to document specific neonatal presentations attributable to maternal influences, capturing clinical complexity and the nature of the maternal-neonatal relationship. Accurate coding within the ICD-10-CM P00 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM P00: Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy Overview

This group represents newborn conditions that result from maternal health factors or exposures that may be unrelated to the current pregnancy, affecting the neonate's clinical status at birth. It targets perinatal and neonatal presentations influenced by maternal diseases, infections, medication exposures, or complications. Accurate coding matters for appropriate clinical documentation and reimbursement because it links maternal conditions to neonatal outcomes and supports claim adjudication.

When to Use

Use a code from this group when a newborn's clinical condition at birth is directly linked to a maternal disease, exposure, or complication documented in the maternal or neonatal record. Select the specific P00 subcode that best describes the maternal factor and the resulting neonatal presentation to ensure precise coding.

ICD-10-CM Codes

12 rows

ICD-10-CM Code	Description
P00.0	Newborn affected by maternal hypertensive disorders
P00.1	Newborn affected by maternal renal and urinary tract diseases
P00.2	Newborn affected by maternal infectious and parasitic diseases
P00.3	Newborn affected by other maternal circulatory and respiratory diseases
P00.4	Newborn affected by maternal nutritional disorders
P00.5	Newborn affected by maternal injury
P00.6	Newborn affected by surgical procedure on mother
P00.7	Newborn affected by other medical procedures on mother, not elsewhere classified
P00.81	Newborn affected by periodontal disease in mother
P00.82	Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
P00.89	Newborn affected by other maternal conditions
P00.9	Newborn affected by unspecified maternal condition

DRG Codes

3 rows

DRG Code	Description
794	Neonate with Other Significant Problems
795	Normal Newborn
951	Other Factors Influencing Health Status

Typical Clinical Scenarios

A term newborn is admitted to the well-baby nursery after spontaneous vaginal delivery; the mother has poorly controlled type 1 diabetes documented in prenatal care. The infant is noted to have hypoglycemia in the first hours of life requiring IV glucose and monitoring for metabolic instability, prompting assignment of a code from this group to indicate the newborn is affected by a maternal condition present prior to or unrelated to the labor. Typical codes: P00.1, P00.2
A preterm neonate born to a mother with active systemic lupus erythematosus and ongoing immunosuppressive therapy presents to the neonatal intensive care unit with thrombocytopenia and transient rash; evaluation focuses on effects of maternal autoimmune disease and medications on the newborn. Because the infant’s condition is related to maternal systemic disease rather than a neonatal primary disorder, a code from this group is used to capture maternal factors affecting the newborn. Typical codes: P00.0, P00.4
A newborn delivered after an otherwise unremarkable pregnancy is evaluated in the emergency department for respiratory distress shortly after birth; maternal Group B Streptococcus status was unknown and the mother had an untreated urinary tract infection during pregnancy. The infant is assessed for exposure-related complications and sepsis risk, and a code from this group is assigned to indicate the newborn was affected by maternal infection or exposure that may have contributed to the clinical presentation. Typical codes: P00.3, P00.81

ICD-10-CM Code For Newborn Affected By Maternal Complications Of Pregnancy: Group Overview

P02-NEWBORN-AFFECTED-BY-PLACENTA-CORD-MEMBRANES

ICD-10-CM Code For Newborn Affected By Complications Of Placenta Cord And Membranes: Group Overview

P03-NEWBORN-OTHER-DELIVERY-COMPLICATIONS

ICD-10-CM Code For Newborn Affected By Other Complications Of Labor And Delivery: Group Overview

P04-NEWBORN-AFFECTED-BY-NOXIOUS-SUBSTANCES

ICD-10-CM Code For Newborn Affected By Noxious Substances Transmitted Via Placenta Or Breast Milk: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

12 rows

ICD-10-CM Code	Description
P00.0	Newborn affected by maternal hypertensive disorders
P00.1	Newborn affected by maternal renal and urinary tract diseases
P00.2	Newborn affected by maternal infectious and parasitic diseases
P00.3	Newborn affected by other maternal circulatory and respiratory diseases
P00.4	Newborn affected by maternal nutritional disorders
P00.5	Newborn affected by maternal injury
P00.6	Newborn affected by surgical procedure on mother
P00.7	Newborn affected by other medical procedures on mother, not elsewhere classified
P00.81	Newborn affected by periodontal disease in mother
P00.82	Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
P00.89	Newborn affected by other maternal conditions
P00.9	Newborn affected by unspecified maternal condition

DRG Codes

3 rows

DRG Code	Description
794	Neonate with Other Significant Problems
795	Normal Newborn
951	Other Factors Influencing Health Status

Typical Clinical Scenarios

A term newborn is admitted to the well-baby nursery after spontaneous vaginal delivery; the mother has poorly controlled type 1 diabetes documented in prenatal care. The infant is noted to have hypoglycemia in the first hours of life requiring IV glucose and monitoring for metabolic instability, prompting assignment of a code from this group to indicate the newborn is affected by a maternal condition present prior to or unrelated to the labor. Typical codes: P00.1, P00.2
A preterm neonate born to a mother with active systemic lupus erythematosus and ongoing immunosuppressive therapy presents to the neonatal intensive care unit with thrombocytopenia and transient rash; evaluation focuses on effects of maternal autoimmune disease and medications on the newborn. Because the infant’s condition is related to maternal systemic disease rather than a neonatal primary disorder, a code from this group is used to capture maternal factors affecting the newborn. Typical codes: P00.0, P00.4
A newborn delivered after an otherwise unremarkable pregnancy is evaluated in the emergency department for respiratory distress shortly after birth; maternal Group B Streptococcus status was unknown and the mother had an untreated urinary tract infection during pregnancy. The infant is assessed for exposure-related complications and sepsis risk, and a code from this group is assigned to indicate the newborn was affected by maternal infection or exposure that may have contributed to the clinical presentation. Typical codes: P00.3, P00.81

ICD-10-CM Code For Newborn Affected By Maternal Complications Of Pregnancy: Group Overview

P02-NEWBORN-AFFECTED-BY-PLACENTA-CORD-MEMBRANES

ICD-10-CM Code For Newborn Affected By Complications Of Placenta Cord And Membranes: Group Overview

P03-NEWBORN-OTHER-DELIVERY-COMPLICATIONS

ICD-10-CM Code For Newborn Affected By Other Complications Of Labor And Delivery: Group Overview

P04-NEWBORN-AFFECTED-BY-NOXIOUS-SUBSTANCES

ICD-10-CM Code For Newborn Affected By Noxious Substances Transmitted Via Placenta Or Breast Milk: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview

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ICD-10-CM P00: Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy Overview

ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview

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ICD-10-CM P00: Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview

Sign up for ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview policy alerts

ICD-10-CM P00: Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy Overview

ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview

Sign up for ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy: Group Overview policy alerts

ICD-10-CM P00: Newborn Affected By Maternal Conditions That May Be Unrelated To Present Pregnancy Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM codes are included in the P00 group?

What clinical situations does the P00 group represent?

Why is accurate coding within the P00 group important for billing and reimbursement?

Which related DRGs might be relevant when assigning a P00 code?

Can P00 codes capture maternal conditions that are unrelated to the current pregnancy?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM codes are included in the P00 group?

What clinical situations does the P00 group represent?

Why is accurate coding within the P00 group important for billing and reimbursement?

Which related DRGs might be relevant when assigning a P00 code?

Can P00 codes capture maternal conditions that are unrelated to the current pregnancy?

References