2. Conditions specifically classified to Chapter 15 when originating in the perinatal
period must be qualified by such terms as "neonatal" or "of newborn" or transitory in
nature.
3. If the same condition occurs in a permanent state in the newborn, it will be coded to
the appropriate category in the main classification.
4. The conditions classified to Chapter 15 include:
a. Conditions in the newborn infant or in an infant in the perinatal period
b. Conditions in any age group that originated in the perinatal period.
5. Categories 76-763 are used to identify maternal conditions that are found to be the
cause of morbidity or mortality in the newborn.
6. Although many of the category titles in Chapter 15 contain the term "maternal" and
appear to refer to the maternal conditions, all the codes in Chapter 15 pertain to the
infant identifying the maternal conditions affecting the infant.
7. There are codes in this perinatal category to show gestational maturity. These
codes can be located under terms as immaturity, prematurity, post-term, light-for-dates,
and heavy-for-dates.
8. Categories 765 and 766 are not to be used as underlying cause of death if any other
cause of perinatal mortality is reported.
9. Respiratory distress syndrome of newborn may be coded in one of two ways.
Respiratory distress syndrome which is referred to as mild and recovery occurs within
72 hours of birth is coded to 77.6. If respiratory distress syndrome is more severe and
recovery is not apparent within the first 72 hours of life, then code to 769.
APPLICATION
1. Use codes from categories 76-763 to identify maternal condition s on the infant's
record that have caused morbidity or mortality in the newborn.
EXAMPLE
DIAGNOSIS: Single, full -term, live-born, male infant
V3. 76.2 743.39
Congenital cataracts resulting from antenatal
exposure to maternal rubella
2. Conditions originating in the perinatal period qualified as "neonatal" or "of newborn"
are usually transitory and will be coded with the appropriate perinatal code. If the
disease occurs in the permanent state in the newborn, code the condition from the main
classification.
MD0753
A-35