Short answer · Medically reviewed summary · Last updated: 2026-05-08

The primary ICD-10-CM code for Necrotizing Enterocolitis (NEC) in newborns is P77, which is further subdivided to specify the site and severity. The ICD-9-CM code previously used for Necrotizing Enterocolitis (NEC) was 777.5. What is the clinical significance of Necrotizing Enterocolitis (NEC)? Necrotizing Enterocolitis (NEC) is a devastating inflammatory disease of the gastrointestinal tract, primarily affecting premature infants.

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ICD10 code of Necrotizing Enterocolitis NEC and ICD9 code

ICD-10 and ICD-9 codes for Necrotizing Enterocolitis NEC, with classification details for clinicians, coders and patients.

ICD9 and ICD10 codes of Necrotizing Enterocolitis NEC

The primary ICD-10-CM code for Necrotizing Enterocolitis (NEC) in newborns is P77, which is further subdivided to specify the site and severity. The ICD-9-CM code previously used for Necrotizing Enterocolitis (NEC) was 777.5.



What is the clinical significance of Necrotizing Enterocolitis (NEC)?


Necrotizing Enterocolitis (NEC) is a devastating inflammatory disease of the gastrointestinal tract, primarily affecting premature infants. It involves the necrosis of intestinal tissue, which can lead to life-threatening complications like bowel perforation and sepsis. Because Necrotizing Enterocolitis (NEC) progresses rapidly, timely diagnosis using these specific ICD classification codes is essential for clinical documentation and hospital resource allocation.



How are the ICD codes for Necrotizing Enterocolitis (NEC) structured?


In the current ICD-10 system, the code P77 is expanded to provide granular clinical detail regarding the patient's status. Accurate coding is vital for researchers studying the epidemiology of this condition. The breakdown is as follows:



  • P77.1: Necrotizing enterocolitis in newborn, stage 1.

  • P77.2: Necrotizing enterocolitis in newborn, stage 2.

  • P77.3: Necrotizing enterocolitis in newborn, stage 3.

  • P77.9: Necrotizing enterocolitis in newborn, unspecified.



Why is documentation of Necrotizing Enterocolitis (NEC) important?


For the 38 members of the DiseaseMaps community who have experienced Necrotizing Enterocolitis (NEC), precise medical records are crucial for long-term follow-up. Documenting the specific stage of Necrotizing Enterocolitis (NEC) helps neonatologists and pediatric surgeons track outcomes and monitor for potential long-term issues like short bowel syndrome or strictures.



Next steps



  • Consult with a board-certified neonatologist or pediatric gastroenterologist to discuss your child's specific diagnosis and long-term care plan.

  • Join the DiseaseMaps.org community to connect with other families who have navigated the challenges of Necrotizing Enterocolitis (NEC).

  • Request detailed medical records from your hospital's health information management department to ensure all diagnoses are coded accurately for future specialist referrals.



Medical disclaimer: This information is for educational purposes only and does not constitute professional medical advice, diagnosis, or treatment; always seek the advice of your physician regarding any medical condition.



References



  • NIH Genetic and Rare Diseases Information Center (GARD): Necrotizing Enterocolitis

  • World Health Organization (WHO): International Classification of Diseases (ICD-10)

  • Centers for Disease Control and Prevention (CDC): ICD-10-CM Coordination and Maintenance Committee

  • Vermont Oxford Network: NEC Resources for Families

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-05-08
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
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NECROTIZING ENTEROCOLITIS NEC STORIES
Necrotizing Enterocolitis NEC stories
My son was born at 24 weeks in may 2015. Git NEC at 10 weeks old & transferred to a London hospital for 5 weeks. During this time he was nil by mouth & on antibiotics for 2 weeks. But it didn't work & had surgery to remove 15cms of bowel & have a sto...
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Niamh was a 4 week old very content little baby girl until Boxing Day (26/12/16) she started having bloody diarrhoea. We took her to A&E they thought it may be an allergy and sent her home on new milk. 9 hours later we returned she had been screaming...
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My daughter developed NEC 1 day old after a bad pregnancy and delivery. She was 5 weeks early. Her body tried to hide it so it was undiagnosed for nearly 4 weeks. She had 3 major surgeries resulting in aromas. Then when closed she was left with a g...

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