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v1.0.0
ICD-10 Guide
ICD-10 CodesP71.0

P71.0

Billable

Cow's milk hypocalcemia in newborn

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P71.0 is a billable code used to indicate a diagnosis of cow's milk hypocalcemia in newborn.

Key Diagnostic Point:

Cow's milk hypocalcemia in newborns is a condition characterized by low levels of calcium in the blood, specifically arising from the consumption of cow's milk in infants who are not adequately adapted to it. This condition is particularly relevant in the neonatal period, where the immature renal function and metabolic pathways can lead to transient disturbances in calcium and magnesium metabolism. Newborns, especially those who are exclusively breastfed or those who receive formula that is not appropriately fortified, may experience hypocalcemia due to insufficient calcium intake. Symptoms can include irritability, muscle twitching, and seizures in severe cases. Diagnosis typically involves serum calcium measurement and clinical assessment. Management focuses on correcting the calcium deficiency through dietary adjustments and supplementation, if necessary. Understanding the pathophysiology of calcium metabolism in neonates is crucial for effective treatment and prevention of complications associated with hypocalcemia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between transient and persistent hypocalcemia
  • Understanding dietary sources of calcium and their impact on newborns
  • Recognizing symptoms that may overlap with other neonatal conditions
  • Navigating documentation requirements for dietary history

Audit Risk Factors

  • Inadequate documentation of dietary intake
  • Failure to document clinical symptoms accurately
  • Misclassification of transient versus chronic conditions
  • Lack of follow-up documentation on treatment response

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed dietary history, clinical symptoms, and laboratory results are essential for accurate coding.

Common Clinical Scenarios

Newborns presenting with irritability and muscle spasms in the NICU after being fed cow's milk-based formula.

Billing Considerations

Consideration of maternal dietary habits and potential deficiencies during pregnancy.

Pediatrics

Documentation Requirements

Documentation should include growth parameters and developmental milestones to assess the impact of hypocalcemia.

Common Clinical Scenarios

Pediatric patients with a history of cow's milk consumption presenting with recurrent symptoms of hypocalcemia.

Billing Considerations

Monitoring for long-term effects on bone health and development.

Coding Guidelines

Inclusion Criteria

Use P71.0 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring that all relevant clinical information is documented to support the diagnosis of cow's milk hypocalcemia

Exclusion Criteria

Do NOT use P71.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the neonate

Clinical Scenario

Used when a newborn with hypocalcemia requires intensive monitoring and management.

Documentation Requirements

Detailed documentation of clinical status, interventions, and response to treatment.

Specialty Considerations

Neonatologists should ensure that all critical care elements are documented to support billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including cow's milk hypocalcemia, which aids in better tracking and management of these cases in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including cow's milk hypocalcemia, which aids in better tracking and management of these cases in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including cow's milk hypocalcemia, which aids in better tracking and management of these cases in clinical practice.

Resources

Clinical References

  • •
    Neonatal Hypocalcemia: A Review

Coding & Billing References

  • •
    Neonatal Hypocalcemia: A Review

Frequently Asked Questions

What are the common symptoms of cow's milk hypocalcemia in newborns?

Common symptoms include irritability, muscle twitching, and in severe cases, seizures. It is important to monitor for these symptoms, especially in infants who have recently been introduced to cow's milk.