Published 15 June 2015,
for implementation 01 July 2015.
Ref No: Q2740 | Published On: 15-Jun-2015 | Status: Current
SUBJECT: Assigning Z38.- as the principal diagnosis
Q:
What codes, if any, can be assigned as additional diagnoses with Z38.- Liveborn infants according to place of birth as the principal diagnosis.
A:
Codes for newborns should be assigned following the guidelines in ACS 1607 Newborn/neonate which state:
‘A code from category Z38 Liveborn infants according to place of birth should be sequenced as the principal diagnosis only when the newborn is completely well (including those babies who have had a circumcision performed).’
Therefore, Z38.- should be sequenced as the principal diagnosis only in those circumstances where there are no additional morbidity codes that qualify for assignment to classify neonatal morbidity or suspected morbidity. Suspected morbidity would include Z03.71 Observation of newborn for suspected infectious condition.
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