RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response.*

Coding Question:  Can you please tell me the difference between Meconium staining in a newborn P96.83, or Meconium passage in a newborn P03.82. When would you use each scenario? Thank you for your help.

RMC’s Answer: The 2 conditions are separate.  “staining” indicates a more long-term significant problem. P03.82- is actually meconium passage during delivery.  There is an excludes 1 note- you should not report meconium passage with meconium staining unless documentation supports that infant had staining and also passed meconium during delivery.

Coding Clinic, Fourth Quarter 2013 Page: 94

Let us know your thoughts! We want YOU to join the conversation! Submit YOUR questions at codingquestions@rmcinc.org

*Every effort has been made to answer these questions to the best of RMC’s abilities, at the time the original question was submitted.  Answers should not be considered official coding advice, and we always encourage conversation and dialogue regarding our responses.  As best practice policy, always be sure to refer to your Official Coding Guidelines , Coding Clinic, CPT Assistant, etc.