ICD-10:
Expand Options for Newborn Respiratory Distress Syndrome
Published on Wed Apr 15, 2015
Fourth digit adds detail.
No matter the details, you have just one code to describe newborn respiratory distress syndrome (RDS) under ICD-9 — 769 (Respiratory distress syndrome in newborn).
That will change once ICD-10 goes into effect on Oct. 1 this year.
Look for Detail
Although ICD-9 lists several distinct diagnoses that code 769 includes, the existing diagnosis code set doesn’t provide a way to distinguish the following “included” conditions:
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Cardiorespiratory distress syndrome of newborn
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Hyaline membrane disease (pulmonary)
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Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
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Pulmonary hypoperfusion syndrome
In contrast, ICD-10 does provide different codes for some of these conditions. You’ll choose one of the following codes under ICD-10:
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P22.0 — Respiratory distress syndrome of newborn
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P22.1 — Transient tachypnea of newborn
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P22.8 — Other respiratory distress of newborn
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P22.9 — Respiratory distress of newborn, unspecified
Notice that 769 excludes transient tachypnea of newborn, because ICD-9 includes a different code for that condition — 770.6 (transient tachypnea of newborn). In contrast, ICD-10 includes transient newborn tachypnea as a type of respiratory distress syndrome.