any current condition in newborn
encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗Grouping depends on the complete encounter and CMS grouper logic.
2026-04-01 – 2026-09-30
CMS · MS-DRG 43.1First observed · 2015-10-01
Latest recorded change · FY2017
Effective from
Newborn affected by complication of labor and delivery, unspecified
Previous title: Newborn (suspected to be) affected by complication of labor and delivery, unspecified
Billable diagnosis code
CDC/NCHS · FY2017| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Title changed · Inherited rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
any current condition in newborn
conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Codes from this chapter are for use on newborn records only, never on maternal records
These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| P03.0 | Newborn affected by breech delivery and extraction | Billable / specific |
| P03.1 | Newborn affected by other malpresentation, malposition and disproportion during labor and delivery | Billable / specific |
| P03.2 | Newborn affected by forceps delivery | Billable / specific |
| P03.3 | Newborn affected by delivery by vacuum extractor [ventouse] | Billable / specific |
| P03.4 | Newborn affected by Cesarean delivery | Billable / specific |
| P03.5 | Newborn affected by precipitate delivery | Billable / specific |
| P03.6 | Newborn affected by abnormal uterine contractions | Billable / specific |
| P03.8 | Newborn affected by other specified complications of labor and delivery | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗
