Fourth digit adds detail.
No matter the details, you have just one code to describe newborn respiratory distress syndrome (RDS) under ICD-9 — 769 (Respiratory distress syndrome in newborn).
That will change once ICD-10 goes into effect on Oct. 1 this year.
Look for Detail
Although ICD-9 lists several distinct diagnoses that code 769 includes, the existing diagnosis code set doesn’t provide a way to distinguish the following “included” conditions:
In contrast, ICD-10 does provide different codes for some of these conditions. You’ll choose one of the following codes under ICD-10:
Notice that 769 excludes transient tachypnea of newborn, because ICD-9 includes a different code for that condition — 770.6 (transient tachypnea of newborn). In contrast, ICD-10 includes transient newborn tachypnea as a type of respiratory distress syndrome