P29.38
Other persistent fetal circulation
P29.38 (also written P2938) is a billable ICD-10-CM diagnosis code for other persistent fetal circulation. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category P29 (Cardiovascular disorders originating in the perinatal period). The Alphabetic Index lists it under 3 entries. Its coding notes include 6 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Chapter 16 codes are never used on the maternal record, and chapter 15 codes are never used on the newborn record. Chapter 16 codes can be used for life if the condition persists.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- congenital malformations of the circulatory system (Q20-Q28)
Also from chapter/block level (5 notes)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- tetanus neonatorum (A33)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Hospital MCC
Counts as a major complication or comorbidity (MCC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 12 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CIncludes
Further defines or gives examples of the content of the category.
Also from chapter/block level (1 note)
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Inclusion terms
Conditions classified to this code.
- Delayed closure of ductus arteriosus
Notes
Also from chapter/block level (1 note)
- Codes from this chapter are for use on newborn records only, never on maternal records
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 3 entries