Birth injury to peripheral nervous system, unspecified
ICD-10 P14.9 is a billable code used to indicate a diagnosis of birth injury to peripheral nervous system, unspecified.
Birth injuries to the peripheral nervous system can occur during the delivery process, often resulting from mechanical trauma. These injuries may affect various nerves, leading to conditions such as brachial plexus injury or phrenic nerve paralysis. Brachial plexus injuries typically result from excessive lateral traction on the head during delivery, causing weakness or paralysis in the affected arm. Phrenic nerve paralysis can lead to respiratory difficulties due to diaphragm dysfunction. The severity of these injuries can vary widely, from transient weakness to permanent impairment. Accurate diagnosis and timely intervention are crucial for optimal outcomes. Management may include physical therapy, surgical intervention, or supportive care, depending on the severity and specific nerve involvement. Given the potential for long-term consequences, careful monitoring and follow-up are essential in the neonatal period.
Detailed records of the birth process, including any complications during delivery, and specific assessments of neurological function in the newborn.
A newborn presents with an arm that is weak or not moving post-delivery, requiring evaluation for brachial plexus injury.
Neonatologists must ensure that all relevant clinical findings are documented to support the coding of peripheral nerve injuries.
Documentation of developmental milestones and any ongoing therapy or interventions related to the birth injury.
A pediatric follow-up visit for a child with a history of phrenic nerve paralysis, assessing respiratory function and developmental progress.
Pediatricians should be aware of the long-term implications of birth injuries and ensure continuity of care.
Used when a newborn with a birth injury requires intensive monitoring and intervention.
Detailed documentation of the newborn's condition, interventions performed, and response to treatment.
Neonatologists must ensure that all critical care services are well-documented to support billing.
Common causes include excessive traction during delivery, shoulder dystocia, and improper positioning of the fetus during labor. These factors can lead to injuries such as brachial plexus injury or phrenic nerve paralysis.
