P29.0 — Neonatal cardiac failure
P29.0 is a billable, specific ICD-10-CM code for neonatal cardiac failure. It is valid for submission on a claim.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated underlying condition
Risk adjustment
P29.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 225 Acute Heart Failure (Excludes Acute on Chronic)0.360 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
P29.0 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
- A57306Billing and Coding: Transthoracic Echocardiography (TTE)
How P29.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P29.0.
- Failure, failed›heart›newborn
- Insufficiency, insufficient›heart›newborn
- Insufficiency, insufficient›myocardial, myocardium›newborn
- Edema, edematous›lung›with heart condition or failure›newborn
- Failure, failed›heart›congestive›newborn
Related codes at this level
Codes that share P29. If P29.0 is not quite right, the correct code is usually one of these.
Questions about P29.0
- Is P29.0 a billable ICD-10-CM code?
- Yes. P29.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P29.0 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).