Neonatal aspiration
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P24 is a billable code used to indicate a diagnosis of neonatal aspiration.
Neonatal aspiration refers to the inhalation of foreign material into the lungs of a newborn, which can lead to respiratory distress and other complications. This condition can arise from various sources, including meconium, milk, or other substances. Meconium aspiration syndrome (MAS) occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs during or before delivery, often leading to airway obstruction and chemical pneumonitis. Milk aspiration, on the other hand, typically occurs when a newborn regurgitates or vomits milk and subsequently inhales it, which can also cause respiratory issues. The clinical presentation may include signs of respiratory distress, such as tachypnea, grunting, and cyanosis. Diagnosis is often confirmed through clinical evaluation and imaging studies, such as chest X-rays, which may reveal atelectasis or infiltrates. Management strategies include supportive care, oxygen therapy, and in some cases, mechanical ventilation. Understanding the nuances of neonatal aspiration syndromes is crucial for accurate coding and appropriate management in the neonatal intensive care unit (NICU).
Detailed clinical notes on the type of aspiration, respiratory status, and treatment provided.
Newborns presenting with respiratory distress in the NICU due to meconium aspiration or milk aspiration.
Ensure accurate differentiation between aspiration types and associated complications.
Comprehensive history and physical examination notes, including feeding history and respiratory assessment.
Pediatric follow-up visits for infants with a history of aspiration syndromes.
Consideration of developmental milestones and ongoing respiratory assessments.
Used for newborns with respiratory distress due to aspiration.
Document the indication for treatment and response to therapy.
Neonatologists should ensure accurate coding based on the specific respiratory condition.
Common causes of neonatal aspiration include meconium-stained amniotic fluid, regurgitated milk, and other foreign materials. Each type has distinct clinical implications and management strategies.
