Pneumopericardium originating in the perinatal period
ICD-10 P25.3 is a billable code used to indicate a diagnosis of pneumopericardium originating in the perinatal period.
Pneumopericardium is the presence of air in the pericardial cavity, which can occur in neonates due to various factors, including mechanical ventilation, trauma, or underlying lung pathology. In the perinatal period, this condition may arise from interstitial emphysema, where air leaks from the alveoli into the interstitial spaces and can subsequently enter the pericardial space. This condition is particularly concerning in premature infants or those with respiratory distress syndrome, as it can lead to compromised cardiac function and hemodynamic instability. Clinical management often involves supportive care, monitoring, and in some cases, invasive procedures to relieve pressure. Accurate diagnosis and coding are critical for appropriate treatment and reimbursement, necessitating thorough documentation of the clinical scenario and any associated conditions.
Detailed clinical notes on respiratory status, interventions, and outcomes.
Management of a premature infant on mechanical ventilation developing pneumopericardium.
Ensure documentation reflects the timing and causative factors of pneumopericardium.
Comprehensive history and physical examination notes, including respiratory assessments.
Follow-up care for a newborn with a history of pneumopericardium.
Consider the long-term implications of pneumopericardium on pediatric health.
Used in the management of respiratory distress in neonates with pneumopericardium.
Document the indication for CPAP and the infant's response.
Neonatologists should note the impact of CPAP on pneumopericardium.
Common causes include mechanical ventilation, trauma during delivery, and underlying lung conditions such as interstitial emphysema.
