ICD-10 P00.3
Billable / SpecificNewborn affected by other maternal circulatory and respiratory diseases
About ICD-10-CM P00.3
ICD-10-CM code P00.3 represents Newborn affected by other maternal circulatory and respiratory diseases. This is a billable/specific code in the Perinatal Period chapter (block P00). The 2026 edition of ICD-10-CM P00.3 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P00.3. Per CMS ICD-10-CM Tabular 2026.
- Newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
Medicare LCD Coverage for P00.3
Local Coverage Determinations (LCDs) from CMS MACs that list P00.3 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P00.3.
1 Cigna
CPT Codes Commonly Billed with P00.3
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert P00.3 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| P00.3 | 7603 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P00.3
Other codes in section P00-P04 (Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery).
ICD-10 P00.3, Billing FAQ
Is ICD-10 code P00.3 billable? +
Yes, P00.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to P00.3? +
ICD-10 P00.3 includes: Newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2.
What ICD-9 codes does P00.3 map to? +
Per CMS GEMs, P00.3 maps to ICD-9 codes: 7603. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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