Birth injury to peripheral nervous system
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P14 is a billable code used to indicate a diagnosis of birth injury to peripheral nervous system.
Birth injury to the peripheral nervous system encompasses a range of conditions resulting from trauma during the delivery process. This can include brachial plexus injuries, which occur when the network of nerves controlling the arm and hand is damaged, often due to excessive pulling during delivery or shoulder dystocia. Phrenic nerve paralysis, another potential outcome, affects the diaphragm and can lead to respiratory difficulties. These injuries may manifest as weakness or paralysis in the affected limbs or respiratory distress in the case of phrenic nerve involvement. Early diagnosis and intervention are crucial for optimal recovery, and management may involve physical therapy, surgical intervention, or supportive care in a neonatal intensive care unit (NICU). Accurate coding of these conditions is essential for appropriate treatment planning and reimbursement.
Detailed notes on the delivery process, neurological assessments, and treatment plans.
Infants presenting with arm weakness after a difficult delivery or respiratory distress due to phrenic nerve involvement.
Ensure accurate documentation of the mechanism of injury and any interventions performed.
Comprehensive history of the birth process and developmental assessments.
Pediatric follow-up for infants with brachial plexus injuries or respiratory issues related to nerve damage.
Consider long-term developmental impacts and the need for rehabilitation services.
Used when an infant with a birth injury requires intensive monitoring and intervention in the NICU.
Detailed notes on the infant's condition, interventions performed, and response to treatment.
Neonatologists should document the rationale for critical care services.
Common causes include shoulder dystocia, excessive pulling during delivery, and improper positioning of the infant during birth. These factors can lead to nerve damage, particularly in the brachial plexus and phrenic nerve.
