Newborn affected by prolapsed cord
ICD-10 P02.4 is a billable code used to indicate a diagnosis of newborn affected by prolapsed cord.
Prolapsed umbilical cord occurs when the umbilical cord slips ahead of the presenting part of the fetus during labor, leading to potential compression of the cord and compromised fetal oxygenation. This condition is a significant obstetric emergency that can result in fetal distress, necessitating immediate intervention. Newborns affected by cord prolapse may present with signs of hypoxia or acidosis at birth, and they may require resuscitation efforts. The management of a newborn affected by a prolapsed cord includes careful monitoring of vital signs, assessment of Apgar scores, and potential admission to a Neonatal Intensive Care Unit (NICU) for further evaluation and treatment. The risk factors for cord prolapse include multiple gestations, polyhydramnios, and abnormal fetal presentations. Understanding the implications of cord prolapse is crucial for ensuring timely and appropriate care for affected newborns.
Detailed records of the newborn's condition, interventions performed, and outcomes are essential. Documentation should include Apgar scores, resuscitation efforts, and any complications arising from the prolapsed cord.
Common scenarios include a newborn requiring immediate resuscitation due to signs of distress from cord prolapse, or a newborn admitted to the NICU for monitoring after a complicated delivery.
Coders must ensure that all relevant clinical details are captured, including maternal history and any interventions performed during labor.
Pediatric documentation should include follow-up assessments of the newborn's health, developmental milestones, and any ongoing care related to complications from the prolapsed cord.
Pediatric scenarios may involve monitoring for long-term effects of hypoxia or other complications resulting from the cord prolapse.
Consideration should be given to the potential for developmental delays or other issues stemming from the initial birth complications.
Used when a newborn affected by cord prolapse requires initial evaluation and management in the NICU.
Documentation must include the newborn's condition, interventions, and any complications.
Neonatologists should ensure comprehensive documentation to support the medical necessity of the services provided.
Key indicators for coding P02.4 include documentation of cord prolapse during delivery, any resuscitation efforts required for the newborn, and ongoing monitoring for complications such as hypoxia or neurological impairment.
