Created Dec 2015
Reviewed Dec 2019
When healthy neonates are transferred from one facility to another, the principal diagnosis is Z76.22 Health supervision and care of other infant or child, NEC with a condition onset flag of 2.
What is the principal diagnosis and condition onset flag when a healthy neonate develops a condition that meets ACS 0002 Additional diagnoses after admission?
If a condition arises during the transferred episode of care (non birth event), this will become the principal diagnosis in place of Z76.22 Health supervision and care of other infant or child, NEC and the COF will be 1.
Refer to the note at the beginning of Chapter 21 in the ICD-10-AM Tabular List.
Categories Z00–Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00–Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.