Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Rules Conventions GCS DChS.XVI.1 DChS.XVI.2

Respiratory and cardiovascular disorders specific to the perinatal period
(P20-P29)

P20 Intrauterine hypoxia
DCS.XVI.10

Incl.:
abnormal fetal heart rate
fetal or intrauterine:
  • acidosis
  • anoxia
  • asphyxia
  • distress
  • hypoxia
meconium in liquor
passage of meconium
Excl.:
intracranial haemorrhage due to anoxia or hypoxia ( P52.-)
P20.0 Intrauterine hypoxia first noted before onset of labour
P20.1 Intrauterine hypoxia first noted during labour and delivery
P20.9 Intrauterine hypoxia, unspecified

P21 Birth asphyxia
DCS.XVI.3

Note:

This category is not to be used for low Apgar score without mention of asphyxia or other respiratory problems.

Excl.:
intrauterine hypoxia or asphyxia ( P20.-)
P21.0 Severe birth asphyxia
Additional Text

Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent.

Incl.:
Asphyxia with 1-minute Apgar score 0-3
White asphyxia
P21.1 Mild and moderate birth asphyxia
Additional Text

Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation.

Incl.:
Asphyxia with 1-minute Apgar score 4-7
Blue asphyxia
P21.9 Birth asphyxia, unspecified
Incl.:
  • Anoxia
  • Asphyxia
  • Hypoxia
  • NOS

P22 Respiratory distress of newborn
DCS.XVI.4

Excl.:
respiratory failure of newborn ( P28.5)
P22.0 Respiratory distress syndrome of newborn
Incl.:
Hyaline membrane disease
P22.1 Transient tachypnoea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified

P23 Congenital pneumonia

Incl.:
infective pneumonia acquired in utero or during birth
Excl.:
neonatal pneumonia resulting from aspiration ( P24.-)
P23.0 Congenital pneumonia due to viral agent
Excl.:
congenital rubella pneumonitis ( P35.0)
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents
Incl.:
Haemophilus influenzae
Klebsiella pneumoniae
Mycoplasma
Streptococcus, except group B
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified

P24 Neonatal aspiration syndromes

Incl.:
neonatal pneumonia resulting from aspiration
P24.0 Neonatal aspiration of meconium
P24.1 Neonatal aspiration of amniotic fluid and mucus
Incl.:
Aspiration of liquor (amnii)
P24.2 Neonatal aspiration of blood
P24.3 Neonatal aspiration of milk and regurgitated food
P24.8 Other neonatal aspiration syndromes
P24.9 Neonatal aspiration syndrome, unspecified
Incl.:
Neonatal aspiration pneumonia NOS

P25 Interstitial emphysema and related conditions originating in the perinatal period

P25.0 Interstitial emphysema originating in the perinatal period
P25.1 Pneumothorax originating in the perinatal period
P25.2 Pneumomediastinum originating in the perinatal period
P25.3 Pneumopericardium originating in the perinatal period
P25.8 Other conditions related to interstitial emphysema originating in the perinatal period

P26 Pulmonary haemorrhage originating in the perinatal period

P26.0 Tracheobronchial haemorrhage originating in the perinatal period
P26.1 Massive pulmonary haemorrhage originating in the perinatal period
P26.8 Other pulmonary haemorrhages originating in the perinatal period
P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period

P27 Chronic respiratory disease originating in the perinatal period

P27.0 Wilson-Mikity syndrome
Incl.:
Pulmonary dysmaturity
P27.1 Bronchopulmonary dysplasia originating in the perinatal period
P27.8 Other chronic respiratory diseases originating in the perinatal period
Incl.:
Congenital pulmonary fibrosis
Ventilator lung in newborn
P27.9 Unspecified chronic respiratory disease originating in the perinatal period

P28 Other respiratory conditions originating in the perinatal period

Excl.:
congenital malformations of the respiratory system ( Q30-Q34)
P28.0 Primary atelectasis of newborn
Incl.:
Primary failure to expand terminal respiratory units
Pulmonary:
  • hypoplasia associated with short gestation
  • immaturity NOS
P28.1 Other and unspecified atelectasis of newborn
Incl.:
Atelectasis:
  • NOS
  • partial
  • secondary
Resorption atelectasis without respiratory distress syndrome
P28.2 Cyanotic attacks of newborn
Excl.:
apnoea of newborn ( P28.3-P28.4)
P28.3 Primary sleep apnoea of newborn
Incl.:
Sleep apnoea of newborn:
  • central
  • NOS
  • obstructive
P28.4 Other apnoea of newborn
Incl.:
Apnoea (of):
  • newborn, obstructive
  • prematurity
Excl.:
obstructive sleep apnoea of newborn ( P28.3)
P28.5 Respiratory failure of newborn
P28.8 Other specified respiratory conditions of newborn
Incl.:
Congenital (laryngeal) stridor NOS
Snuffles in newborn
Excl.:
early congenital syphilitic rhinitis ( A50.0)
P28.9 Respiratory condition of newborn, unspecified

P29 Cardiovascular disorders originating in the perinatal period

Excl.:
congenital malformations of the circulatory system ( Q20-Q28)
P29.0 Neonatal cardiac failure
P29.1 Neonatal cardiac dysrhythmia
P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation
Incl.:
Delayed closure of ductus arteriosus
Pulmonary hypertension of newborn (persistent)
P29.4 Transient myocardial ischaemia of newborn
P29.8 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified