Phrenic nerve paralysis due to birth injury
ICD-10 P14.2 is a billable code used to indicate a diagnosis of phrenic nerve paralysis due to birth injury.
Phrenic nerve paralysis is a condition that arises from injury to the phrenic nerve during the birthing process, often due to mechanical trauma. This nerve is crucial for diaphragm function, and its paralysis can lead to respiratory distress in newborns. Birth injuries to the peripheral nervous system, including brachial plexus injuries, can occur during difficult deliveries, particularly in cases of shoulder dystocia or excessive traction during delivery. The impact of phrenic nerve paralysis can vary, with some infants experiencing mild symptoms that resolve spontaneously, while others may require intensive respiratory support. Diagnosis typically involves clinical evaluation and may include imaging studies to assess diaphragm movement. Management strategies focus on supportive care, monitoring respiratory function, and addressing any underlying conditions that may contribute to respiratory compromise.
Detailed records of respiratory assessments, interventions, and outcomes are essential for accurate coding.
Infants presenting with respiratory distress in the NICU following a traumatic delivery.
Coders must ensure that all aspects of the birth injury and its impact on respiratory function are thoroughly documented.
Pediatric documentation should include developmental assessments and follow-up care related to nerve injury.
Pediatric patients with a history of phrenic nerve paralysis presenting with respiratory issues.
Consideration of long-term outcomes and potential developmental delays associated with nerve injuries.
Used for infants with respiratory distress due to phrenic nerve paralysis.
Document the need for respiratory support and the infant's response to therapy.
Neonatologists should ensure that all respiratory interventions are clearly documented.
Phrenic nerve paralysis in newborns is often caused by birth injuries, particularly during difficult deliveries involving shoulder dystocia or excessive traction. It can also occur due to direct trauma during delivery.
