Birth injuries to other parts of peripheral nervous system
ICD-10 P14.8 is a billable code used to indicate a diagnosis of birth injuries to other parts of peripheral nervous system.
Birth injuries to the peripheral nervous system can occur during the delivery process, often resulting from mechanical trauma. This includes injuries to the brachial plexus, which can lead to conditions such as Erb's palsy, characterized by weakness or paralysis of the arm. Phrenic nerve paralysis is another significant concern, potentially leading to respiratory distress due to diaphragm dysfunction. These injuries may arise from excessive pulling during delivery, shoulder dystocia, or the use of forceps. Clinical assessment typically involves physical examination and may include imaging studies to evaluate nerve integrity. Early intervention, including physical therapy and, in some cases, surgical repair, is crucial for optimal recovery. Understanding the nuances of these injuries is essential for accurate coding and appropriate management in neonatal care.
Detailed records of the delivery process, physical examination findings, and treatment plans.
NICU admissions for brachial plexus injuries following difficult deliveries, respiratory support for phrenic nerve paralysis.
Accurate coding requires understanding the mechanism of injury and potential long-term implications for the infant.
Comprehensive history of the injury, developmental assessments, and follow-up care plans.
Pediatric evaluations for infants with residual effects of birth injuries, including physical therapy referrals.
Consideration of developmental milestones and potential need for multidisciplinary care.
Used for infants requiring intensive monitoring and intervention for birth injuries.
Detailed documentation of clinical status and interventions performed.
Neonatologists must document the rationale for critical care services.
Common causes include shoulder dystocia, excessive traction during delivery, and the use of forceps. Understanding these factors is crucial for accurate coding and management.
