Meconium Aspiration/Meconium Ileus

Note: As of October 1, 2005, code 770.1 was expanded to describe various types of fetal aspiration. Meconium aspiration syndrome is synonymous with the older phrases of massive aspiration syndrome, massive fetal aspiration, atelectasis neonatorum, and fetal aspiration. It occurs when the fetus gasps while in the uterus or birth canal (post maturity may play an important role) and inhales amniotic, vaginal, or oropharyngeal fluids. Tachypnea, wheezing, and/or apnea may be present. In milder forms, dyspnea occurs soon after birth, lasts 2-3 days followed by rapid recovery. Therapy includes suctioning all traces of meconium from the oral and...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains coding-related changes for neonatal respiratory and intestinal conditions involving meconium, with emphasis on ICD-9-CM index and tabular list updates, expanded terminology, and related instructional note changes. It is relevant to coders, auditors, and clinical documentation staff working with newborn diagnoses and historical ICD-9-CM guidance.

Why This Topic Matters

The article helps users understand how ICD-9-CM terminology changes affected the classification of certain newborn conditions and related documentation. It is useful when reviewing legacy records, educational material, or coding references that still use older ICD-9-CM terminology.

Article Sections

  1. Overview of meconium aspiration syndrome

    Provides background on neonatal meconium aspiration and the terminology used for this condition. It also summarizes the general clinical context addressed by the coding discussion.

  2. ICD-9-CM respiratory condition listings

    Reviews related respiratory condition entries and the ICD-9-CM updates associated with neonatal aspiration terminology. The section is focused on classification changes and index/tabular guidance.

  3. ICD-9-CM meconium ileus and obstruction update

    Covers the index and tabular list revision involving meconium ileus and its related diagnostic grouping. The section addresses the coding references and update context for this neonatal intestinal condition.

  4. Clinical example

    Presents a brief newborn coding example tied to the article’s meconium aspiration topic. It illustrates the type of documentation scenario discussed in the article.

What You Will Learn

  • How the article frames ICD-9-CM updates for neonatal meconium-related conditions.
  • What types of legacy terminology and index/tabular changes are discussed.
  • How the article ties a newborn clinical scenario to the coding topic.
  • What coding references are associated with meconium aspiration and meconium ileus revisions.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation staff
  • Billing staff
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 770.1
  • ICD-9-CM: 770
  • ICD-9-CM: 770.6
  • ICD-9-CM: 777.1
  • ICD-9-CM: 277.01

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