ICD-10 · PDGM grouping
P03 Newborn affected by other complications of labor and delivery
All 13 codes in the P03 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
13
Can lead a claim
12
Cannot lead a claim
1
What CMS assigns to P03
12 of the 13 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 13 is assigned a comorbidity subgroup. 12 of the 13 can lead a claim. CMS attaches a code-first note to all 13.
Code first
CMS grouper convention 12, on all 13 codes. Code first:
- underlying disease
Every code in P03
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| P03.0 | Newborn affected by breech delivery and extraction | Can lead a claim, code first applies | A | None |
| P03.1 | Newborn affected by other malpresentation, malposition and disproportion during labor and deliveryCMS: NB aff by oth malpresent, malpos & disproprtn dur labr & del | Can lead a claim, code first applies | A | None |
| P03.2 | Newborn affected by forceps delivery | Can lead a claim, code first applies | A | None |
| P03.3 | Newborn affected by delivery by vacuum extractor [ventouse] | Can lead a claim, code first applies | A | None |
| P03.4 | Newborn affected by Cesarean delivery | Can lead a claim, code first applies | A | None |
| P03.5 | Newborn affected by precipitate delivery | Can lead a claim, code first applies | A | None |
| P03.6 | Newborn affected by abnormal uterine contractions | Can lead a claim, code first applies | A | None |
| P03.8 Newborn affected by other specified complications of labor and delivery | ||||
| P03.81 Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm | ||||
| P03.810 | Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm before the onset of laborCMS: NB aff by abnlt in fetal heart rate or rhym bef onset labor | Can lead a claim, code first applies | A | None |
| P03.811 | Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm during laborCMS: NB aff by abnlt in fetal heart rate or rhythm during labor | Can lead a claim, code first applies | A | None |
| P03.819 | Newborn affected by abnormality in fetal (intrauterine) heart rate or rhythm, unspecified as to time of onsetCMS: NB aff by abnlt in fetal heart rate or rhym, unsp time onset | Can lead a claim, code first applies | A | None |
| P03.82 | Meconium passage during delivery | Can lead a claim, code first applies | A | None |
| P03.89 | Newborn affected by other specified complications of labor and deliveryCMS: Newborn affected by oth complications of labor and delivery | Can lead a claim, code first applies | A | None |
| P03.9 | Newborn affected by complication of labor and delivery, unspecifiedCMS: Newborn affected by comp of labor and delivery, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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