Chignon (from vacuum extraction) due to birth injury
ICD-10 P12.1 is a billable code used to indicate a diagnosis of chignon (from vacuum extraction) due to birth injury.
Chignon, a localized swelling or indentation on the scalp, is a common birth injury resulting from the use of vacuum extraction during delivery. This condition occurs when a vacuum cup is applied to the fetal head to assist in delivery, leading to localized trauma. The vacuum extraction can cause various scalp injuries, including caput succedaneum, which is a soft tissue swelling due to fluid accumulation, and cephalohematoma, which is a collection of blood between the skull and periosteum. The chignon itself is characterized by a circular mark or swelling at the site of vacuum application, which may resolve within a few days. While generally benign, it is essential for healthcare providers to monitor the infant for any signs of more severe complications, such as intracranial hemorrhage or infection. Proper documentation of the delivery method and any associated injuries is crucial for accurate coding and management of the newborn's care.
Detailed notes on the delivery method, any interventions performed, and the infant's condition post-delivery.
Infants admitted to the NICU with chignon and associated scalp injuries requiring monitoring.
Consideration of potential long-term effects of birth injuries on neurodevelopment.
Comprehensive history of the birth process and any immediate postnatal complications.
Follow-up visits for infants with birth injuries to assess recovery and development.
Awareness of the potential for developmental delays or other complications stemming from birth injuries.
Used when a newborn with chignon requires intensive monitoring.
Detailed notes on the infant's condition and interventions performed.
Neonatologists should document any critical care services provided.
Accurate coding of P12.1 is crucial for proper reimbursement, tracking of birth injuries, and ensuring that infants receive appropriate follow-up care. It also aids in research and quality improvement initiatives in neonatal care.
