Extreme immaturity of newborn, gestational age 23 completed weeks
ICD-10 P07.22 is a billable code used to indicate a diagnosis of extreme immaturity of newborn, gestational age 23 completed weeks.
Extreme immaturity of a newborn refers to infants born at a gestational age of 23 completed weeks, which is significantly below the normal range of 37 to 42 weeks. These infants are at a high risk for numerous complications due to their underdeveloped organ systems. Common issues include respiratory distress syndrome due to immature lungs, intraventricular hemorrhage, and necrotizing enterocolitis. The care for these infants often requires specialized neonatal intensive care, including mechanical ventilation, nutritional support, and close monitoring for infections and other complications. Maternal factors such as preterm labor, infections, and placental insufficiency can contribute to extreme prematurity. Delivery complications, including cesarean sections or emergency deliveries, may also play a role in the outcomes for these infants. The prognosis for infants born at this gestational age is variable and depends on multiple factors, including the presence of comorbidities and the quality of neonatal care provided.
Detailed records of gestational age, birth weight, and immediate postnatal care.
Management of respiratory distress, feeding intolerance, and temperature instability in the NICU.
Accurate coding of associated conditions and complications is crucial for appropriate reimbursement and care planning.
Comprehensive history of perinatal events and ongoing developmental assessments.
Follow-up care for developmental delays and chronic conditions stemming from extreme prematurity.
Pediatricians must be aware of the long-term implications of extreme immaturity on health outcomes.
Used for initial assessment of an extremely premature infant in the NICU.
Detailed notes on the infant's condition, gestational age, and any immediate interventions.
Neonatologists must document all aspects of care to support the complexity of the case.
Key factors include the exact gestational age at birth, birth weight, any complications experienced by the newborn, maternal health history, and details of the delivery process.
