Birth injury to spine and spinal cord
ICD-10 P11.5 is a billable code used to indicate a diagnosis of birth injury to spine and spinal cord.
Birth injury to the spine and spinal cord refers to damage sustained during the delivery process that affects the spinal column or the spinal cord itself. This can occur due to mechanical forces during labor, such as excessive pulling or pressure on the infant's body, particularly in cases of shoulder dystocia or prolonged labor. Injuries may manifest as fractures of the vertebrae, spinal cord contusions, or transections, leading to varying degrees of neurological impairment. The clinical presentation can include motor deficits, sensory loss, or autonomic dysfunction, depending on the severity and location of the injury. Early diagnosis and intervention are crucial for optimizing outcomes, and management may involve a multidisciplinary approach including neonatologists, pediatric neurologists, and rehabilitation specialists. Other birth injuries to the central nervous system, such as intracranial hemorrhages or cerebral palsy, may also be associated with spinal injuries, necessitating comprehensive evaluation and care.
Detailed notes on delivery complications, neurological assessments, and imaging results.
Infants presenting with motor deficits post-delivery, cases of shoulder dystocia, or prolonged labor.
Ensure comprehensive documentation of neurological evaluations and any interventions performed.
Follow-up notes on developmental milestones, neurological assessments, and rehabilitation progress.
Pediatric evaluations of infants with suspected spinal injuries or related neurological conditions.
Consider the long-term implications of spinal injuries on growth and development.
Used when managing a newborn with significant birth injury requiring intensive monitoring.
Detailed notes on the infant's condition, interventions, and response to treatment.
Neonatologists must document the rationale for critical care services provided.
Common causes include mechanical forces during delivery, such as excessive pulling, shoulder dystocia, or prolonged labor. Understanding these factors is crucial for accurate coding and management.
