Premature rupture of membranes affecting fetus or newborn

This code signifies the premature rupture of the amniotic sac, occurring before the onset of labor, and its impact on the developing fetus or newborn. It indicates that the integrity of the fetal membranes was compromised prior to term or at term before labor began, leading to potential complications for the neonate.

Assign this code when documentation explicitly states premature rupture of membranes (PROM) or prolonged premature rupture of membranes (PPROM) and links it to an adverse effect or condition in the fetus or newborn. Supporting documentation would include obstetric records detailing the PROM event and neonatal records describing associated complications (e.g., prematurity, infection, respiratory distress).

• Do not use this code for maternal PROM; a separate maternal code exists for that condition.
• Always sequence this code after the primary diagnosis for the specific fetal or neonatal condition caused by the PROM.
• Ensure documentation clearly establishes a causal link between the PROM and the fetal/neonatal outcome.