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    v1.0.28
    OpenPayerBilling CodesRespiratory and cardiovascular disorders specific to the perinatal periodICD-10-CM p29-cardiovascular-disorders-perinatal
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    ICD-10-CM Code For Cardiovascular Disorders Originating In The Perinatal Period: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P29 includes cardiovascular disorders that originate in the perinatal period, such as fetal or neonatal cardiac dysfunctions, circulatory problems, and congenital vascular anomalies presenting around birth. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving neonatal or fetal cardiac compromise, arrhythmias, or circulatory disturbances, capturing severity, organ involvement, and clinical complexity relevant to this group. Accurate coding within the ICD-10-CM P29 group supports proper claim adjudication and complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM P29: Cardiovascular Disorders Originating In The Perinatal Period Overview

    The diagnoses in this group represent congenital or acquired cardiovascular conditions that present during the perinatal period, affecting the heart and circulatory system of the fetus or neonate. These codes target disorders such as fetal cardiovascular distress, neonatal cardiac arrhythmias, and other vascular anomalies manifesting around birth. Accurate coding supports appropriate clinical documentation and helps ensure correct claim processing and reimbursement.

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    When to Use

    Use a code from this group when documentation indicates a cardiovascular condition first identified in the perinatal period affecting the fetus or neonate. Codes are applied for clinical encounters that describe neonatal cardiac compromise, arrhythmias, or circulatory disturbances requiring medical attention.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    P29.0Neonatal cardiac failure
    P29.11Neonatal tachycardia
    P29.12Neonatal bradycardia
    P29.2Neonatal hypertension
    P29.30Pulmonary hypertension of newborn
    P29.38Other persistent fetal circulation
    P29.4Transient myocardial ischemia in newborn
    P29.81Cardiac arrest of newborn
    P29.89Other cardiovascular disorders originating in the perinatal period
    P29.9Cardiovascular disorder originating in the perinatal period, unspecified

    DRG Codes

    3 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    794Neonate with Other Significant Problems

    Typical Clinical Scenarios

    • A term neonate presents within hours of birth with cyanosis, tachypnea, and a new heart murmur; echocardiography demonstrates persistent pulmonary hypertension with right-to-left shunting and evidence of pulmonary vascular hypertrophy. The infant requires supplemental oxygen and respiratory support in the neonatal intensive care unit due to hypoxemia from elevated pulmonary vascular resistance, prompting assignment of a perinatal pulmonary vascular disorder code. Typical codes: P29.3, P29.30.
    • A preterm infant in the NICU develops signs of persistent circulatory instability and a chest radiograph suggests congenital myocardial dysfunction; bedside echocardiography shows cardiomyopathy with reduced left ventricular function possibly related to perinatal hypoxia or infection. This ongoing cardiac dysfunction is coded as a cardiovascular disorder specific to the perinatal period to capture the neonatal cardiomyopathy and guide clinical documentation. Typical codes: P29.0, P29.2.
    • A newborn transferred from a community hospital for evaluation of recurrent episodes of apnea and poor perfusion who is found to have a structural vascular malformation causing compromised systemic output; the cardiovascular finding complicates the infant’s perinatal course and acts as a comorbidity affecting management. The perinatal vascular malformation or other specified circulatory anomaly is assigned to reflect the complication of the newborn period. Typical codes: P29.89, P29.9.

    Related Codes

    P19-METABOLIC-ACIDEMIA-IN-NEWBORN

    ICD-10-CM Code For Metabolic Acidemia In Newborn: Group Overview

    P22-RESPIRATORY-DISTRESS-OF-NEWBORN

    ICD-10-CM Code For Respiratory Distress Of Newborn: Group Overview

    P23-CONGENITAL-PNEUMONIA

    ICD-10-CM Code For Congenital Pneumonia: Group Overview

    P24-NEONATAL-ASPIRATION

    ICD-10-CM Code For Neonatal Aspiration: Group Overview

    P25-INTERSTITIAL-EMPHYSEMA-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Interstitial Emphysema And Related Conditions Originating In The Perinatal Period: Group Overview

    P26-PULMONARY-HEMORRHAGE-PERINATAL

    ICD-10-CM Code For Pulmonary Hemorrhage Originating In The Perinatal Period: Group Overview

    P27-CHRONIC-RESPIRATORY-DISEASE-PERINATAL

    ICD-10-CM Code For Chronic Respiratory Disease Originating In The Perinatal Period: Group Overview

    P28-OTHER-RESPIRATORY-PERINATAL-CONDITIONS

    ICD-10-CM Code For Other Respiratory Conditions Originating In The Perinatal Period: 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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