Transitory hyperammonemia of newborn
ICD-10 P74.6 is a billable code used to indicate a diagnosis of transitory hyperammonemia of newborn.
Transitory hyperammonemia of the newborn is a metabolic disturbance characterized by elevated levels of ammonia in the blood, typically occurring in the first few days of life. This condition is often transient and can result from various factors, including immature liver function, dietary protein intake, or metabolic disorders. In neonates, the liver is still developing its enzymatic pathways, which can lead to temporary disruptions in ammonia metabolism. Clinically, affected infants may present with lethargy, poor feeding, vomiting, or irritability. Diagnosis is confirmed through blood tests measuring ammonia levels. Management usually involves supportive care, including hydration and dietary adjustments, and the condition often resolves as the infant matures. However, close monitoring is essential to prevent potential neurological damage associated with prolonged hyperammonemia. Understanding the underlying causes and ensuring timely intervention are critical in managing this condition effectively.
Detailed clinical notes on symptoms, lab results, and management plans.
Infants presenting with lethargy and poor feeding in the NICU, requiring ammonia level monitoring.
Ensure documentation reflects the transient nature and resolution of hyperammonemia.
Comprehensive history and physical examination notes, including dietary intake and metabolic assessments.
Pediatric follow-up for infants previously diagnosed with hyperammonemia, monitoring growth and development.
Consider potential long-term effects on neurodevelopment and document any interventions.
Used to obtain blood samples for ammonia level testing in newborns.
Document the reason for blood draw and any relevant clinical findings.
Ensure proper technique and documentation of the procedure in neonatology.
Common causes include immature liver function, dietary protein intake, and transient metabolic disturbances. It is essential to monitor ammonia levels and provide supportive care.
