Transitory neonatal disorders of calcium and magnesium metabolism
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P71 is a billable code used to indicate a diagnosis of transitory neonatal disorders of calcium and magnesium metabolism.
Transitory neonatal disorders of calcium and magnesium metabolism, particularly hypocalcemia, are conditions that can occur in newborns due to various factors, including maternal health issues, prematurity, and nutritional deficiencies. Hypocalcemia in neonates is characterized by low serum calcium levels, which can lead to symptoms such as irritability, muscle twitching, seizures, and poor feeding. The condition is often transient, resolving with appropriate management, which may include calcium supplementation and monitoring of serum calcium levels. It is crucial for healthcare providers to differentiate between transient hypocalcemia and more severe underlying conditions that may require more intensive intervention. The management of these disorders typically occurs in a neonatal intensive care unit (NICU) setting, where close monitoring and specialized care can be provided. Understanding the etiology, clinical presentation, and treatment options for these disorders is essential for effective coding and billing in neonatal care.
Detailed records of serum calcium levels, treatment protocols, and clinical observations.
Neonates presenting with seizures or irritability in the NICU, requiring calcium supplementation.
Ensure accurate tracking of calcium levels and response to treatment for proper coding.
Comprehensive history and physical examination notes, including dietary intake and maternal health.
Follow-up visits for neonates with a history of hypocalcemia, monitoring growth and development.
Consideration of long-term outcomes and potential developmental delays related to calcium metabolism disorders.
Used to monitor calcium levels in neonates diagnosed with hypocalcemia.
Document the indication for the test and the results.
Neonatologists should ensure that all lab results are accurately reflected in the patient's chart.
Common causes include maternal vitamin D deficiency, prematurity, and inadequate calcium intake. It is essential to assess maternal health and dietary factors during pregnancy.
