Congenital pneumonia
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P23 is a billable code used to indicate a diagnosis of congenital pneumonia.
Congenital pneumonia is a serious condition characterized by the presence of pneumonia in a newborn that is acquired in utero. This condition can arise from various infectious agents, including bacteria, viruses, and fungi, which can infect the fetus during pregnancy. The most common pathogens associated with congenital pneumonia include Group B Streptococcus, Escherichia coli, and viral agents such as cytomegalovirus (CMV) and respiratory syncytial virus (RSV). Clinically, congenital pneumonia presents with respiratory distress shortly after birth, which may manifest as tachypnea, grunting, and cyanosis. Diagnosis typically involves a combination of clinical assessment, imaging studies such as chest X-rays, and laboratory tests including blood cultures and PCR for viral pathogens. Early recognition and management are crucial, as untreated congenital pneumonia can lead to significant morbidity and mortality in neonates. Treatment often includes supportive care, oxygen therapy, and, in some cases, antibiotics or antiviral medications depending on the identified pathogen.
Detailed documentation of clinical signs, maternal history, and diagnostic tests.
Neonates presenting with respiratory distress in the NICU, requiring immediate intervention.
Consideration of gestational age and associated comorbidities in coding.
Thorough history and physical examination findings, including follow-up care.
Pediatric patients with a history of congenital pneumonia presenting for routine check-ups.
Monitoring for long-term respiratory complications in pediatric patients.
Used when a newborn with congenital pneumonia requires initial evaluation.
Document the clinical findings and management plan.
Neonatologists should ensure thorough documentation of respiratory assessments.
Common causes include bacterial infections such as Group B Streptococcus and E. coli, as well as viral infections like CMV and RSV. Maternal infections during pregnancy can significantly increase the risk.
