Birth injury to skeleton
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P13 is a billable code used to indicate a diagnosis of birth injury to skeleton.
Birth injuries to the skeleton can occur during the delivery process, often resulting from mechanical forces exerted on the newborn. These injuries may include fractures of the skull, clavicle, and other bones. Skull fractures can occur due to the pressure of the birth canal or the use of instruments such as forceps. Clavicular fractures are among the most common birth injuries, typically resulting from shoulder dystocia or excessive lateral traction during delivery. Other skeletal injuries may involve the long bones, ribs, or vertebrae, although these are less common. The clinical presentation of these injuries can vary, with symptoms ranging from localized swelling and tenderness to more severe complications such as respiratory distress in cases of rib fractures. Accurate diagnosis often requires a combination of physical examination and imaging studies. Management typically involves supportive care, with most fractures healing without intervention. However, close monitoring is essential to ensure proper recovery and to address any potential complications.
Detailed notes on the delivery process, including any complications and interventions used.
Fractured clavicle due to shoulder dystocia, skull fracture from vacuum extraction.
Ensure accurate coding of multiple fractures and associated conditions.
Comprehensive history and physical examination findings, including any developmental concerns.
Follow-up care for a newborn with a clavicular fracture.
Consideration of long-term outcomes and potential developmental delays.
Used in conjunction with P13 for newborns with birth injuries requiring monitoring.
Document the newborn's condition and any interventions performed.
Neonatologists should ensure thorough documentation of the injury and its management.
Common types of birth injuries include fractures of the skull, clavicle, and occasionally other bones. These injuries often result from mechanical forces during delivery, such as shoulder dystocia or the use of obstetric instruments.
