AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-CM Diagnosis Codes
Neonatal Encephalopathy
Two new codes P91.811, Neonatal encephalopathy in disease classified elsewhere, and P91.819, Neonatal encephalopathy, unspecified, have been created to describe neonatal encephalopathy that is caused by some other condition as well as unspecified neonatal encephalopathy. Neonatal encephalopathy is a clinically defined syndrome of neurological dysfunction in the newborn infant, manifested by difficulty initiating and maintaining respiration, depression of tone and reflexes, subnormal level of consciousness and seizures. Typically, the condition affects full term newborns. When neonatal encephalopathy is caused by a significant hypoxic ischemic brain injury, it is called hypoxic ischemic encephalopathy [HIE], and assigned the appropriate...
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Article Overview
This article is for coding professionals, clinical documentation staff, and neonatal care audiences who need to understand ICD-10-CM updates involving neonatal encephalopathy. It summarizes the creation of new diagnosis codes, places the topic in the context of related neonatal neurologic conditions, and discusses broad documentation and sequencing considerations tied to the condition and its underlying cause.
Why This Topic Matters
Neonatal neurologic diagnoses can affect code assignment, record accuracy, and how related conditions are represented in claims and reporting. This article helps readers understand the scope of the updated ICD-10-CM guidance and where neonatal encephalopathy fits within the broader neonatal coding framework.
What You Will Learn
- How neonatal encephalopathy is classified in ICD-10-CM
- What broader neonatal neurologic coding updates are discussed
- How the article relates neonatal encephalopathy to hypoxic ischemic encephalopathy
- Why documentation of an underlying cause is relevant in this topic area
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Neonatal clinicians
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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