ICD-10-CM Billable Code

P23.6

Congenital pneumonia due to other bacterial agents

Clinical Classification Guidelines

Use Additional Code

  • code (B95-B96) to identify organism

Inclusion Terms

  • Congenital pneumonia due to Hemophilus influenzae
  • Congenital pneumonia due to Klebsiella pneumoniae
  • Congenital pneumonia due to Mycoplasma
  • Congenital pneumonia due to Streptococcus, except group B

Medical Intelligence & Overview

Congenital pneumonia due to bacterial agents is a serious lung infection present at birth. This condition occurs when a newborn inhales bacteria during delivery or acquires the infection from the mother during pregnancy. Recognized under ICD-10 code P23.6, this form of pneumonia can be caused by various bacteria including Hemophilus influenzae, Klebsiella pneumoniae, Mycoplasma, and Streptococcus species (excluding Group B). Early detection and appropriate management are essential for improving outcomes in affected infants.

Causes & Symptoms

Clinical Causes: Transmission of bacteria from mother to baby during childbirth Intrauterine infection where bacteria infect the fetus before birth Exposure to bacteria from the environment after birth Specific bacteria that can cause the condition include: Hemophilus influenzae Klebsiella pneumoniae Mycoplasma species Streptococcus bacteria (excluding Group B Streptococcus)

Key Symptoms: Rapid breathing or difficulty breathing Uneven or grunting respiratory efforts Cyanosis, which is a bluish tint to the skin, especially around lips and fingertips Fever or hypothermia (low body temperature) Poor feeding or refusal to eat Lethargy or decreased activity Rapid or irregular heartbeat Weak cry or abnormal breath sounds upon examination

Diagnostic & Treatment

Diagnosis Path: • Tests on amniotic fluid or placental tissue if intrauterine infection is suspected

Treatment Protocols: • Management of complications such as respiratory distress or sepsis

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is P23.6 a billable ICD-10 code?
Yes, P23.6 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report P23.6?
Clinical documentation must specify the nature of Congenital pneumonia due to other bacterial agents and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

congenital pneumonia bacterial agents