ICD-10 P29.38
Billable / Specific MCCOther persistent fetal circulation
About ICD-10-CM P29.38
ICD-10-CM code P29.38 represents Other persistent fetal circulation. This is a billable/specific code in the Perinatal Period chapter (block P29). The 2026 edition of ICD-10-CM P29.38 became effective on October 1, 2025.
Coding Tips for P29.38
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
P29.38 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P29.38. Per CMS ICD-10-CM Tabular 2026.
- Delayed closure of ductus arteriosus
Inpatient DRG Impact, MCC
codes Other persistent fetal circulation. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for P29.38
Local Coverage Determinations (LCDs) from CMS MACs that list P29.38 as a covered diagnosis.
Showing top 10 of 88 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P29.38.
4 Aetna
4 Medicare
CPT Codes Commonly Billed with P29.38
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.
Codes Adjacent To P29.38
Other codes in section P19-P29 (Respiratory and cardiovascular disorders specific to the perinatal period).
ICD-10 P29.38, Billing FAQ
Is ICD-10 code P29.38 billable? +
Yes, P29.38 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 P29.38? +
ICD-10 P29.38 includes: Delayed closure of ductus arteriosus.
Is P29.38 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
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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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