AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor
Newborn with Possible Systolic Ejection Murmur
During a routine physical examination of the newborn, the provider noted a possible systolic ejection murmur, and recommended further workup post discharge. In ICD-10-CM, under the terms murmur, systolic the coder is directed to endocarditis. What is the appropriate code assignment for a “possible systolic ejection murmur” that occurs in the perinatal period? ...
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Article Overview
This short coding guidance article focuses on a newborn found to have a possible systolic ejection murmur during a routine physical examination and the need to determine the appropriate ICD-10-CM assignment in the perinatal period. It is relevant to inpatient and outpatient coders, newborn clinicians, and coding educators who work with perinatal diagnoses and neonatal cardiovascular findings.
Why This Topic Matters
Neonatal findings that are not yet fully explained can be coded differently from established diagnoses, so understanding the perinatal classification framework helps support consistent ICD-10-CM reporting.
What You Will Learn
- How a suspected cardiovascular finding in a newborn is discussed in perinatal coding guidance.
- Why the perinatal period matters for ICD-10-CM diagnosis selection.
- How unresolved underlying causes are handled at a high level in this type of coding scenario.
- The role of ICD-10-CM indexing terms in directing coding review.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Newborn nursery staff
- Coding educators
Codes Discussed
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