Erb's paralysis due to birth injury
ICD-10 P14.0 is a billable code used to indicate a diagnosis of erb's paralysis due to birth injury.
Erb's paralysis, also known as Erb-Duchenne palsy, is a form of brachial plexus injury that occurs during childbirth, typically due to excessive lateral traction on the head during delivery. This condition affects the peripheral nervous system, specifically the upper trunk of the brachial plexus, which innervates the shoulder and arm. The injury can lead to weakness or paralysis of the affected arm, characterized by an inability to raise the arm or move it away from the body. In severe cases, it may also involve phrenic nerve paralysis, resulting in respiratory difficulties due to diaphragm dysfunction. Clinical presentation often includes an arm that is adducted and internally rotated, with the infant unable to grasp or move the affected limb. Early diagnosis and intervention are crucial for optimal recovery, which may include physical therapy and, in some cases, surgical intervention. Understanding the nuances of this condition is essential for accurate coding and appropriate management in neonatal care.
Detailed documentation of the birth process, including any complications during delivery that may have led to the injury.
Infants presenting with arm weakness after a difficult delivery, particularly in cases of shoulder dystocia.
Neonatologists must ensure that all relevant clinical findings are documented to support the diagnosis and coding.
Documentation of developmental milestones and physical therapy progress in follow-up visits.
Pediatric assessments of infants with suspected Erb's palsy during routine check-ups.
Pediatricians should be aware of the long-term implications of Erb's paralysis on motor development.
Used when an infant with Erb's paralysis requires intensive monitoring and management.
Detailed documentation of the infant's condition and treatment plan.
Neonatologists should ensure that all critical care elements are documented.
Erb's paralysis is commonly caused by shoulder dystocia during delivery, excessive lateral traction on the head, or use of forceps during childbirth. Understanding these causes is crucial for accurate coding and management.
