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v1.0.0
ICD-10 Guide
ICD-10 CodesP83.39

P83.39

Billable

Other edema specific to newborn

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

Code Description

ICD-10 P83.39 is a billable code used to indicate a diagnosis of other edema specific to newborn.

Key Diagnostic Point:

P83.39 refers to other forms of edema that can occur in newborns, which may not fit into more specific categories. One notable condition associated with this code is sclerema neonatorum, a rare but serious condition characterized by hardening of the skin and subcutaneous tissues in newborns. This condition typically presents within the first few days of life and is often associated with prematurity, low birth weight, and underlying infections or metabolic disorders. The skin appears tense and indurated, primarily affecting the extremities and trunk. The pathophysiology involves an abnormal accumulation of collagen and other extracellular matrix components, leading to the characteristic hardening. Management of sclerema neonatorum focuses on supportive care, addressing any underlying conditions, and monitoring for complications. Accurate coding for P83.39 requires careful documentation of the clinical presentation and any associated conditions to ensure appropriate reimbursement and care continuity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of edema in newborns.
  • Understanding the underlying causes of sclerema neonatorum.
  • Documenting associated conditions that may complicate the diagnosis.
  • Navigating the nuances of coding for rare conditions.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the type of edema.
  • Misclassification of sclerema neonatorum as a more common condition.
  • Lack of clarity regarding associated conditions.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed clinical notes on the infant's condition, including onset, progression, and any interventions.

Common Clinical Scenarios

Infants presenting with hardening skin in the NICU, particularly those with low birth weight or prematurity.

Billing Considerations

Consideration of the infant's gestational age and overall health status is crucial for accurate coding.

Pediatrics

Documentation Requirements

Thorough history and physical examination notes, including family history and any relevant prenatal factors.

Common Clinical Scenarios

Pediatric follow-ups for infants previously diagnosed with sclerema neonatorum.

Billing Considerations

Awareness of the long-term implications of sclerema on growth and development.

Coding Guidelines

Inclusion Criteria

Use P83.39 When
  • Follow the official ICD
  • CM guidelines for coding edema in newborns, ensuring specificity in documentation and coding based on clinical findings

Exclusion Criteria

Do NOT use P83.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the critically ill infant or child

Clinical Scenario

Used when managing a newborn with sclerema neonatorum in the NICU.

Documentation Requirements

Detailed notes on the infant's condition, interventions, and response to treatment.

Specialty Considerations

Neonatologists should ensure comprehensive documentation to support critical care coding.

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 sclerema neonatorum, enhancing the ability to capture the complexity of neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including sclerema neonatorum, enhancing the ability to capture the complexity of neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, including sclerema neonatorum, enhancing the ability to capture the complexity of neonatal care.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What is the significance of coding P83.39 accurately?

Accurate coding of P83.39 is crucial for appropriate reimbursement, tracking of neonatal conditions, and ensuring that infants receive the necessary care and follow-up for conditions like sclerema neonatorum.