Other transitory metabolic disturbances of newborn
ICD-10 P74.8 is a billable code used to indicate a diagnosis of other transitory metabolic disturbances of newborn.
P74.8 encompasses a variety of transient metabolic disturbances that can occur in newborns, often related to electrolyte imbalances or metabolic processes that are not fully developed at birth. These disturbances may include transient hypoglycemia, electrolyte imbalances such as hypocalcemia or hyperkalemia, and metabolic disorders that resolve without long-term consequences. Newborns are particularly susceptible to these conditions due to their immature organ systems and the rapid physiological changes they undergo after birth. Clinical management typically involves monitoring and supportive care, including intravenous fluids, electrolyte replacement, and glucose administration as needed. The resolution of these disturbances is usually expected within days to weeks, making timely diagnosis and intervention critical to prevent potential complications. Accurate coding of these conditions is essential for appropriate reimbursement and to reflect the complexity of care provided in neonatal units.
Detailed documentation of metabolic assessments, laboratory results, and treatment plans.
Newborns presenting with hypoglycemia after birth, electrolyte imbalances in preterm infants, and metabolic disturbances following maternal diabetes.
Consideration of gestational age and birth weight, as these factors can influence the risk and management of metabolic disturbances.
Thorough documentation of the patient's history, including maternal health and any perinatal complications.
Pediatric follow-up for newborns with previous metabolic disturbances, monitoring for potential long-term effects.
Awareness of developmental milestones and potential impacts of early metabolic disturbances on growth and development.
Used when a newborn with metabolic disturbances requires intensive monitoring and intervention.
Documentation must reflect the critical nature of the infant's condition and the interventions provided.
Neonatologists must ensure that all critical care services are well-documented to support billing.
Common causes include maternal diabetes, prematurity, and inadequate feeding. These factors can lead to imbalances in glucose and electrolytes, necessitating careful monitoring and management.
