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    OpenPayerBilling CodesNewborn affected by maternal factors and by complications of pregnancy, labor, and deliveryICD-10-CM p01-newborn-affected-by-maternal-complications
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    ICD-10-CM Code For Newborn Affected By Maternal Complications Of Pregnancy: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P01 includes neonatal diagnoses that result from maternal complications of pregnancy, labor, or delivery such as maternal hypertension, diabetes, infection, or other obstetric conditions affecting the infant. These ICD-10-CM diagnosis codes are used to document the newborn s clinical status when maternal factors have contributed to birth outcomes, capturing severity, organ system involvement, and complications in the neonate. Accurate coding within the ICD-10-CM P01 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM P01: Newborn Affected By Maternal Complications Of Pregnancy Overview

    This group captures newborn conditions that are attributable to maternal complications of pregnancy, labor, and delivery, affecting the neonate rather than the mother. It targets neonatal diagnoses resulting from maternal health issues, obstetric complications, or exposures during pregnancy that impact the newborn. Accurate coding matters for complete clinical documentation and supports appropriate claim adjudication and reimbursement.

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    When to Use

    Use a code from this group when the newborn s condition is directly linked to a maternal complication documented in the mother s record, such as maternal infection, hypertension, or diabetes that affected the infant. Select the specific P01 subcode that best identifies the maternal condition and the neonatal effect when coding the newborn s diagnosis.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    P01.0Newborn affected by incompetent cervix
    P01.1Newborn affected by premature rupture of membranes
    P01.2Newborn affected by oligohydramnios
    P01.3Newborn affected by polyhydramnios
    P01.4Newborn affected by ectopic pregnancy
    P01.5Newborn affected by multiple pregnancy
    P01.6Newborn affected by maternal death
    P01.7Newborn affected by malpresentation before labor
    P01.8Newborn affected by other maternal complications of pregnancy
    P01.9Newborn affected by maternal complication of pregnancy, unspecified

    DRG Codes

    1 rows

    DRG CodeDescription
    794Neonate with Other Significant Problems

    Typical Clinical Scenarios

    • A term neonate is born to a mother with poorly controlled gestational hypertension and evidence of uteroplacental insufficiency during labor; the newborn has low birth weight and requires monitoring for hypoglycemia and respiratory adaptation in the newborn nursery. This situation prompts assignment of a code indicating the infant was affected by maternal hypertensive disorders complicating pregnancy. Typical codes: P01.0, P01.4
    • A preterm newborn is delivered after the mother experienced premature rupture of membranes and intra-amniotic infection (chorioamnionitis); the infant presents with respiratory distress and is evaluated in the NICU for sepsis and receives empiric antibiotics. A code from this group is used because the newborn’s condition is directly related to maternal infection and complications of labor. Typical codes: P01.3, P01.8
    • A neonate is admitted from the delivery suite after maternal diabetes mellitus with poor glycemic control during pregnancy; the baby develops neonatal hypoglycemia and requires intravenous glucose and extended observation for metabolic instability. A diagnosis from this group is assigned to indicate the newborn was affected by maternal endocrine disorder of pregnancy. Typical codes: P01.1, P01.5

    Related Codes

    P00-NEWBORN-AFFECTED-BY-MATERNAL-CONDITIONS

    ICD-10-CM Code For Newborn Affected By Maternal Conditions That May Be Unrelated To Present 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. 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. 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. 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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