Metabolic acidemia in newborn, unspecified
ICD-10 P19.9 is a billable code used to indicate a diagnosis of metabolic acidemia in newborn, unspecified.
Metabolic acidemia in newborns refers to a condition characterized by an excess of acid in the blood, which can occur due to various factors during the perinatal period. This condition is often a result of inadequate oxygenation during labor and delivery, leading to a buildup of lactic acid. It can also arise from maternal conditions such as diabetes or renal failure. Newborns with metabolic acidemia may present with symptoms such as lethargy, poor feeding, and respiratory distress. The diagnosis is typically made through arterial blood gas analysis, which reveals low pH and elevated levels of carbon dioxide and bicarbonate. Management of metabolic acidemia may involve supportive care, including oxygen therapy, intravenous fluids, and correction of underlying metabolic disturbances. It is crucial for healthcare providers to monitor these infants closely, as untreated metabolic acidemia can lead to severe complications, including neurological damage and multi-organ failure.
Detailed records of blood gas analyses, clinical assessments, and treatment plans are essential for accurate coding.
Common scenarios include newborns presenting with respiratory distress or lethargy shortly after birth, often requiring NICU admission for monitoring and treatment.
Coders must ensure that all relevant maternal health factors are documented, as they can significantly impact the newborn's condition.
Pediatric documentation should include growth parameters, developmental assessments, and any ongoing management for metabolic conditions.
Pediatric cases may involve follow-up for infants discharged from the NICU with a history of metabolic acidemia, requiring careful monitoring for developmental delays.
Consideration of long-term outcomes and potential complications is crucial for accurate coding and billing.
Used when a newborn with metabolic acidemia requires initial evaluation and management in the NICU.
Documentation must include clinical findings, treatment plans, and any interventions performed.
Neonatologists should ensure that all aspects of care are documented to support the complexity of the case.
Common causes include perinatal asphyxia, maternal diabetes, and renal failure. Each case requires careful evaluation to determine the underlying factors contributing to the acidemia.
