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ICD-10-CM 2027 diagnosis code

P29.38Other persistent fetal circulation

✓ Billable / specificPOA exemptMCC — major complication/comorbidity

P29.38 is a valid, billable ICD-10-CM code for other persistent fetal circulation. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About P29.38

P29.38 is the ICD-10-CM diagnosis code for other persistent fetal circulation. It belongs to category P29 (cardiovascular disorders originating in the perinatal period), block P19-P29 (respiratory and cardiovascular disorders specific to the perinatal period) and chapter 16 (certain conditions originating in the perinatal period). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within P29.3, choose P29.38 (Other persistent fetal circulation) only when documentation doesn't support a more specific option: pulmonary hypertension of newborn (P29.30).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2018, effective October 1, 2017.

Before ICD-10, this condition was coded in ICD-9-CM as 747.83 (persistent fetal circulation).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Delayed closure of ductus arteriosus

Notes that apply from higher levels

Instructions written at a parent level also apply to P29.38.

› From P29 Cardiovascular disorders originating in the perinatal period
Excludes2
  • congenital malformations of the circulatory system (Q20-Q28)

Broader instructions also apply from Chapter 16: Certain conditions originating in the perinatal period.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to P29.38.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 747.83Persistent fetal circulationapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about P29.38

Is P29.38 billable?

Yes. P29.38 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can P29.38 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict P29.38 as a principal diagnosis.

Is P29.38 a CC or MCC?

P29.38 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does P29.38 group to?

P29.38 is used in the MS-DRG v44.0 logic for MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for P29.38?

The CMS General Equivalence Mappings map P29.38 to ICD-9-CM 747.83.