Cerebral edema due to birth injury
ICD-10 P11.0 is a billable code used to indicate a diagnosis of cerebral edema due to birth injury.
Cerebral edema due to birth injury is a serious condition that occurs when there is an accumulation of excess fluid in the brain tissue of a newborn, often resulting from trauma during the birthing process. This condition can arise from various birth injuries, including those affecting the central nervous system, such as intracranial hemorrhages, and can lead to significant neurological impairment. Birth injuries may occur due to mechanical factors such as prolonged labor, use of forceps, or vacuum extraction. The clinical presentation may include altered consciousness, seizures, and abnormal muscle tone. Diagnosis typically involves imaging studies like ultrasound or MRI to assess the extent of edema and rule out other conditions. Management may include supportive care, monitoring intracranial pressure, and addressing any underlying causes. Early recognition and intervention are crucial to minimize long-term neurological deficits.
Detailed records of the birth process, neurological assessments, and imaging results.
Infants presenting with seizures or altered consciousness in the NICU following a traumatic delivery.
Accurate coding requires comprehensive documentation of the birth injury and its immediate effects on the infant.
Ongoing assessments of developmental milestones and neurological evaluations.
Pediatric follow-up for infants with a history of cerebral edema due to birth injury.
Consideration of long-term outcomes and potential developmental delays in coding.
Used when managing a newborn with cerebral edema in the NICU.
Detailed documentation of critical care services provided.
Neonatologists must document the severity and complexity of care.
Common causes include mechanical trauma during delivery, such as the use of forceps or vacuum extraction, prolonged labor, and fetal distress leading to hypoxia.