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ICD-10 Guide
ICD-10 CodesP71.2

P71.2

Billable

Neonatal hypomagnesemia

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

Code Description

ICD-10 P71.2 is a billable code used to indicate a diagnosis of neonatal hypomagnesemia.

Key Diagnostic Point:

Neonatal hypomagnesemia is characterized by low serum magnesium levels in newborns, which can lead to various clinical manifestations. This condition is often transitory and may arise due to inadequate maternal magnesium intake, prematurity, or certain medications administered during pregnancy. Hypomagnesemia can result in neuromuscular irritability, seizures, and cardiac arrhythmias. It is crucial to monitor magnesium levels in high-risk infants, particularly those in the neonatal intensive care unit (NICU) or those with low birth weight. Treatment typically involves magnesium supplementation, either orally or intravenously, depending on the severity of the deficiency. Understanding the interplay between magnesium and calcium metabolism is essential, as hypomagnesemia can also contribute to hypocalcemia, further complicating the clinical picture. Early identification and management are vital to prevent long-term neurological deficits and ensure optimal outcomes for affected newborns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between transient and persistent hypomagnesemia
  • Understanding the relationship between magnesium and calcium metabolism
  • Identifying risk factors in preterm and low birth weight infants
  • Documenting clinical manifestations accurately

Audit Risk Factors

  • Inadequate documentation of serum magnesium levels
  • Failure to note associated conditions like hypocalcemia
  • Lack of clarity in treatment protocols followed
  • Insufficient follow-up documentation on patient outcomes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of serum magnesium levels, clinical symptoms, and treatment plans.

Common Clinical Scenarios

Infants in the NICU presenting with seizures or neuromuscular irritability.

Billing Considerations

Consideration of maternal health and dietary intake during pregnancy.

Pediatrics

Documentation Requirements

Comprehensive history and physical examination findings related to magnesium levels.

Common Clinical Scenarios

Follow-up visits for infants with a history of hypomagnesemia.

Billing Considerations

Monitoring growth and development in infants with previous magnesium deficiencies.

Coding Guidelines

Inclusion Criteria

Use P71.2 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of clinical findings and treatment protocols
  • Specific criteria for neonatal conditions must be met, including age at diagnosis and clinical manifestations

Exclusion Criteria

Do NOT use P71.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83018CPT Code

Magnesium, serum

Clinical Scenario

Used to monitor magnesium levels in infants diagnosed with hypomagnesemia.

Documentation Requirements

Document the reason for testing and any clinical symptoms present.

Specialty Considerations

Neonatologists should ensure timely testing in high-risk infants.

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, improving the accuracy of diagnoses like hypomagnesemia and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses like hypomagnesemia and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Neonatal Hypomagnesemia: A Review

Coding & Billing References

  • •
    Neonatal Hypomagnesemia: A Review

Frequently Asked Questions

What are the common causes of neonatal hypomagnesemia?

Common causes include maternal magnesium deficiency, prematurity, and certain medications. It's essential to assess maternal health and dietary intake during pregnancy.