Newborn affected by maternal use of opiates
ICD-10 P04.14 is a billable code used to indicate a diagnosis of newborn affected by maternal use of opiates.
Newborns affected by maternal use of opiates may present with a range of symptoms due to in utero exposure to these substances. Maternal opiate use can lead to neonatal abstinence syndrome (NAS), characterized by withdrawal symptoms such as irritability, feeding difficulties, tremors, and seizures. These symptoms can manifest shortly after birth and may require specialized care in a neonatal intensive care unit (NICU). The impact of maternal opiate use extends beyond immediate withdrawal symptoms; it can also affect the newborn's growth, development, and long-term health outcomes. Clinicians must monitor these infants closely for potential complications, including respiratory distress, low birth weight, and developmental delays. Accurate coding of this condition is crucial for appropriate management and resource allocation in neonatal care.
Detailed maternal history, including type and duration of opiate use, and infant withdrawal symptoms.
Infants presenting with NAS in the NICU requiring pharmacological treatment and supportive care.
Consideration of the infant's gestational age and any co-existing conditions that may complicate treatment.
Ongoing assessment of developmental milestones and potential long-term effects of opiate exposure.
Follow-up visits for infants with a history of NAS to monitor growth and development.
Awareness of the psychosocial factors affecting the family and the need for multidisciplinary support.
Used for initial assessment of a newborn affected by maternal opiate use.
Document maternal history, newborn assessment findings, and any interventions.
Neonatologists should ensure thorough documentation of withdrawal symptoms and treatment plans.
Common symptoms of NAS include irritability, feeding difficulties, tremors, seizures, and respiratory distress. These symptoms typically appear within 24-72 hours after birth and require careful monitoring and management.
