Fussy infant (baby)
ICD-10 R68.12 is a billable code used to indicate a diagnosis of fussy infant (baby).
R68.12 refers to a clinical presentation characterized by excessive fussiness or irritability in infants, which is often a common concern among parents and caregivers. This symptom can manifest as persistent crying, difficulty in soothing, and general restlessness, leading to distress for both the infant and the family. The causes of fussiness in infants can be multifactorial, including hunger, discomfort, fatigue, or underlying medical conditions such as gastroesophageal reflux disease (GERD), colic, or infections. It is essential for healthcare providers to conduct a thorough assessment to rule out any serious underlying issues. The diagnostic approach typically involves a detailed history and physical examination, focusing on feeding patterns, sleep habits, and any associated symptoms. Laboratory tests may be warranted if there are signs of infection or metabolic disorders. Accurate coding of R68.12 requires careful documentation of the infant's symptoms, duration, and any interventions attempted to alleviate the fussiness.
Detailed history of the infant's feeding, sleeping, and behavioral patterns, along with any parental concerns.
Routine check-ups where parents report excessive crying or irritability.
Consideration of maternal health and environmental factors that may contribute to the infant's fussiness.
Acute assessment of the infant, including vital signs and any immediate interventions taken.
Infants presenting with acute irritability or crying episodes that may indicate an underlying emergency.
Rapid assessment to rule out serious conditions such as infections or metabolic disorders.
Used when assessing an infant for fussiness during a routine visit.
Document the reason for the visit, history of present illness, and any physical exam findings.
Ensure that the visit is appropriately linked to the concerns raised by the caregiver.
R68.12 should be used when an infant presents with excessive fussiness without a more specific diagnosis. It is essential to document the context and any associated symptoms.
