Other transitory electrolyte disturbances of newborn
ICD-10 P74.4 is a billable code used to indicate a diagnosis of other transitory electrolyte disturbances of newborn.
Transitory electrolyte disturbances in newborns can arise from various physiological and pathological conditions. These disturbances often manifest as imbalances in sodium, potassium, calcium, and magnesium levels, which can occur due to factors such as maternal diabetes, prematurity, or inadequate feeding. Newborns are particularly vulnerable to these disturbances due to their immature renal function and limited ability to regulate electrolytes. Clinical manifestations may include lethargy, irritability, poor feeding, and in severe cases, seizures or cardiac arrhythmias. Diagnosis typically involves serum electrolyte measurements and clinical assessment. Management focuses on correcting the underlying cause and restoring electrolyte balance, often requiring close monitoring in a neonatal intensive care unit (NICU) setting. The prognosis is generally favorable with timely intervention, but persistent disturbances may indicate underlying metabolic disorders that require further evaluation.
Detailed records of electrolyte levels, clinical signs, and treatment plans are essential.
Newborns presenting with lethargy and poor feeding in the NICU, requiring electrolyte monitoring.
Neonatologists must ensure accurate coding reflecting the transient nature of the disturbances.
Pediatricians should document any ongoing monitoring and follow-up care related to electrolyte disturbances.
Outpatient follow-up for newborns discharged with a history of electrolyte imbalances.
Consideration of developmental milestones and potential long-term effects of electrolyte disturbances.
Used to obtain blood samples for electrolyte testing in newborns.
Document the reason for blood draw and any relevant clinical findings.
Neonatologists should ensure proper technique and documentation to support coding.
Common causes include maternal diabetes, prematurity, inadequate feeding, and congenital metabolic disorders. Each case requires careful evaluation to determine the underlying cause and appropriate management.
