Chronic respiratory disease arising in the perinatal period

This code signifies a persistent respiratory condition that originated during the perinatal period (before, during, or immediately after birth). It often reflects long-term pulmonary issues in infants and young children, frequently stemming from prematurity or severe neonatal lung disease. The condition typically involves ongoing respiratory symptoms and/or dependence on respiratory support.

Apply this code when documentation indicates a chronic respiratory problem in an infant or child that was diagnosed or clearly had its onset around the time of birth. This includes conditions like bronchopulmonary dysplasia (BPD) or other forms of chronic lung disease of prematurity. Supporting documentation should specify the chronic nature and perinatal origin of the respiratory illness.

• Ensure documentation explicitly states the chronic nature of the respiratory disease and its perinatal origin.
• Do not use for acute respiratory conditions, even in neonates; those require specific acute respiratory codes.
• Consider sequencing this code after a more specific code for the underlying cause if known and still active (e.g., extreme prematurity, severe respiratory distress syndrome).