Metabolic acidemia noted at birth
ICD-10 P19.2 is a billable code used to indicate a diagnosis of metabolic acidemia noted at birth.
Metabolic acidemia at birth is a condition characterized by an abnormal increase in acidity in the blood of a newborn, which can result from various factors during the perinatal period. This condition is often identified through arterial blood gas analysis, revealing a low pH and decreased bicarbonate levels. Metabolic acidemia can arise from several causes, including asphyxia during delivery, maternal diabetes, or metabolic disorders in the newborn. The clinical implications of metabolic acidemia are significant, as it can lead to organ dysfunction, neurological impairment, and increased morbidity if not promptly addressed. Management typically involves supportive care, including oxygen therapy, fluid resuscitation, and correction of the underlying cause. The timely recognition and treatment of metabolic acidemia are crucial in the neonatal period to prevent long-term complications and ensure optimal outcomes for affected infants.
Detailed documentation of blood gas results, clinical assessments, and treatment protocols is essential.
Common scenarios include infants born with asphyxia, those requiring resuscitation, and those with maternal diabetes.
Coders must ensure that all relevant clinical data is captured to support the diagnosis and treatment provided.
Pediatric documentation should include follow-up assessments and any ongoing management related to metabolic acidemia.
Pediatric cases may involve infants with metabolic disorders or those presenting with complications from birth trauma.
Consideration of long-term outcomes and developmental assessments is important in pediatric coding.
Used in conjunction with metabolic acidemia diagnosis for initial assessment and management.
Documentation must include clinical findings, treatment provided, and follow-up plans.
Neonatologists should ensure comprehensive documentation to support the complexity of care provided.
Common causes include asphyxia during delivery, maternal diabetes, and metabolic disorders. Each case should be evaluated for underlying factors contributing to the acidemia.
