Other brachial plexus birth injuries
ICD-10 P14.3 is a billable code used to indicate a diagnosis of other brachial plexus birth injuries.
Brachial plexus birth injuries occur when the network of nerves controlling the arm and hand is damaged during delivery, often due to excessive pulling or shoulder dystocia. This injury can lead to varying degrees of weakness or paralysis in the affected arm. Other brachial plexus injuries may include phrenic nerve paralysis, which affects the diaphragm and can lead to respiratory difficulties. Clinical presentation may vary from mild weakness to complete paralysis, and associated conditions may include Horner's syndrome or Klumpke's palsy. Diagnosis typically involves a thorough clinical examination and may be supported by imaging studies. Management strategies can include physical therapy, occupational therapy, and in some cases, surgical intervention. Early identification and intervention are crucial to optimize functional recovery and minimize long-term disability.
Detailed neurological assessments, including motor function and reflexes, must be documented. Any imaging studies or consultations should also be included.
A newborn presenting with an arm that is adducted and internally rotated, with limited movement, following a difficult delivery.
Coders should be aware of the potential for co-existing conditions, such as phrenic nerve paralysis, which may require additional coding.
Documentation should include developmental assessments and any interventions or therapies initiated for the child.
A pediatric follow-up visit for a child with a history of brachial plexus injury, assessing motor skills and physical therapy progress.
Pediatric coders should ensure that any long-term effects of the injury are documented, as this may impact future coding and care.
Used when a newborn with brachial plexus injury requires intensive monitoring and management.
Detailed documentation of the clinical status and interventions provided.
Neonatologists should ensure that all aspects of care are documented to support the level of service billed.
Common causes include shoulder dystocia during delivery, excessive lateral traction on the head, and maternal factors such as gestational diabetes leading to larger infants.
