ICD-10 · PDGM grouping
P19-P29 — Respiratory and cardiovascular disorders specific to the perinatal period
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
70
No clinical group
6
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
64 of the 70 codes in P19-P29 group to MMTA - Other. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in P19-P29
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- P19Metabolic acidemia in newborn4 codes
- P22Respiratory distress of newborn4 codes
- P23Congenital pneumonia9 codes
- P24Neonatal aspiration11 codes
- P25Interstitial emphysema and related conditions originating in the perinatal period5 codes
- P26Pulmonary hemorrhage originating in the perinatal period4 codes
- P27Chronic respiratory disease originating in the perinatal period4 codes
- P28Other respiratory conditions originating in the perinatal period19 codes
- P29Cardiovascular disorders originating in the perinatal period10 codes
Every code in P19-P29
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| P190 | Metabolic acidemia in newborn first noted before onset labor | A | Can lead a claim |
| P191 | Metabolic acidemia in newborn first noted during labor | A | Can lead a claim |
| P192 | Metabolic acidemia noted at birth | A | Can lead a claim |
| P199 | Metabolic acidemia in newborn, unspecified | A | Can lead a claim |
| P220 | Respiratory distress syndrome of newborn | A | Can lead a claim |
| P221 | Transient tachypnea of newborn | A | Can lead a claim |
| P228 | Other respiratory distress of newborn | A | Can lead a claim |
| P229 | Respiratory distress of newborn, unspecified | A | Can lead a claim |
| P230 | Congenital pneumonia due to viral agent | A | Can lead a claim |
| P231 | Congenital pneumonia due to Chlamydia | A | Can lead a claim |
| P232 | Congenital pneumonia due to staphylococcus | A | Can lead a claim |
| P233 | Congenital pneumonia due to streptococcus, group B | A | Can lead a claim |
| P234 | Congenital pneumonia due to Escherichia coli | A | Can lead a claim |
| P235 | Congenital pneumonia due to Pseudomonas | A | Can lead a claim |
| P236 | Congenital pneumonia due to other bacterial agents | A | Can lead a claim |
| P238 | Congenital pneumonia due to other organisms | A | Can lead a claim |
| P239 | Congenital pneumonia, unspecified | None | Cannot lead a claim |
| P2400 | Meconium aspiration without respiratory symptoms | A | Can lead a claim |
| P2401 | Meconium aspiration with respiratory symptoms | A | Can lead a claim |
| P2410 | Neonatal aspirat of amnio fluid and mucus w/o resp symp | A | Can lead a claim |
| P2411 | Neonatal aspirat of amnio fluid and mucus w resp symp | A | Can lead a claim |
| P2420 | Neonatal aspiration of blood without respiratory symptoms | A | Can lead a claim |
| P2421 | Neonatal aspiration of blood with respiratory symptoms | A | Can lead a claim |
| P2430 | Neonatal aspirat of milk and regurgitated food w/o resp symp | A | Can lead a claim |
| P2431 | Neonatal aspirat of milk and regurgitated food w resp symp | A | Can lead a claim |
| P2480 | Other neonatal aspiration without respiratory symptoms | A | Can lead a claim |
| P2481 | Other neonatal aspiration with respiratory symptoms | A | Can lead a claim |
| P249 | Neonatal aspiration, unspecified | A | Can lead a claim |
| P250 | Interstitial emphysema originating in the perinatal period | A | Can lead a claim |
| P251 | Pneumothorax originating in the perinatal period | A | Can lead a claim |
| P252 | Pneumomediastinum originating in the perinatal period | A | Can lead a claim |
| P253 | Pneumopericardium originating in the perinatal period | A | Can lead a claim |
| P258 | Oth cond rel to interstit emphysema origin in perinat period | A | Can lead a claim |
| P260 | Tracheobronchial hemorrhage origin in the perinatal period | A | Can lead a claim |
| P261 | Massive pulmonary hemorrhage origin in the perinatal period | A | Can lead a claim |
| P268 | Oth pulmonary hemorrhages origin in the perinatal period | A | Can lead a claim |
| P269 | Unsp pulmonary hemorrhage origin in the perinatal period | A | Can lead a claim |
| P270 | Wilson-Mikity syndrome | A | Can lead a claim |
| P271 | Bronchopulmonary dysplasia origin in the perinatal period | A | Can lead a claim |
| P278 | Oth chronic resp diseases origin in the perinatal period | A | Can lead a claim |
| P279 | Unsp chronic resp disease origin in the perinatal period | None | Cannot lead a claim |
| P280 | Primary atelectasis of newborn | A | Can lead a claim |
| P2810 | Unspecified atelectasis of newborn | A | Can lead a claim |
| P2811 | Resorption atelectasis without respiratory distress syndrome | A | Can lead a claim |
| P2819 | Other atelectasis of newborn | A | Can lead a claim |
| P282 | Cyanotic attacks of newborn | A | Can lead a claim |
| P2830 | Primary sleep apnea of newborn, unspecified | A | Can lead a claim |
| P2831 | Primary central sleep apnea of newborn | A | Can lead a claim |
| P2832 | Primary obstructive sleep apnea of newborn | A | Can lead a claim |
| P2833 | Primary mixed sleep apnea of newborn | A | Can lead a claim |
| P2839 | Other primary sleep apnea of newborn | A | Can lead a claim |
| P2840 | Unspecified apnea of newborn | A | Can lead a claim |
| P2841 | Central neonatal apnea of newborn | A | Can lead a claim |
| P2842 | Obstructive apnea of newborn | A | Can lead a claim |
| P2843 | Mixed neonatal apnea of newborn | A | Can lead a claim |
| P2849 | Other apnea of newborn | A | Can lead a claim |
| P285 | Respiratory failure of newborn | A | Can lead a claim |
| P2881 | Respiratory arrest of newborn | A | Can lead a claim |
| P2889 | Other specified respiratory conditions of newborn | A | Can lead a claim |
| P289 | Respiratory condition of newborn, unspecified | None | Cannot lead a claim |
| P290 | Neonatal cardiac failure | A | Can lead a claim |
| P2911 | Neonatal tachycardia | A | Can lead a claim |
| P2912 | Neonatal bradycardia | A | Can lead a claim |
| P292 | Neonatal hypertension | A | Can lead a claim |
| P2930 | Pulmonary hypertension of newborn | None | Cannot lead a claim |
| P2938 | Other persistent fetal circulation | None | Cannot lead a claim |
| P294 | Transient myocardial ischemia in newborn | A | Can lead a claim |
| P2981 | Cardiac arrest of newborn | A | Can lead a claim |
| P2989 | Oth cardiovasc disorders originating in the perinatal period | A | Can lead a claim |
| P299 | Cardiovasc disorder origin in the perinatal period, unsp | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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