Neonatal aspiration of blood with respiratory symptoms
ICD-10 P24.21 is a billable code used to indicate a diagnosis of neonatal aspiration of blood with respiratory symptoms.
Neonatal aspiration of blood with respiratory symptoms refers to the inhalation of blood into the lungs of a newborn, which can lead to significant respiratory distress. This condition may occur during delivery, particularly in cases of traumatic birth or when there is maternal hemorrhage. The presence of blood in the airways can obstruct normal breathing and lead to aspiration pneumonia. Symptoms may include cyanosis, tachypnea, grunting, and retractions. Management typically involves supportive care, including oxygen therapy and, in severe cases, mechanical ventilation. The condition is often associated with other neonatal aspiration syndromes, such as meconium aspiration syndrome (MAS) and milk aspiration, where the newborn inhales meconium-stained amniotic fluid or milk, respectively. Accurate coding is essential for appropriate treatment and reimbursement, as well as for tracking outcomes in neonatal care.
Detailed clinical notes on the delivery process, respiratory assessment, and interventions provided.
Neonates presenting with respiratory distress shortly after birth, particularly in cases of traumatic delivery or maternal hemorrhage.
Ensure that all respiratory symptoms are documented, and the cause of aspiration is clearly identified to support accurate coding.
Comprehensive history and physical examination findings, including any prior neonatal complications.
Pediatric follow-up visits for neonates with a history of aspiration syndromes, monitoring for long-term respiratory issues.
Consider the developmental impact of aspiration events on the child’s health and growth.
Used for neonates with respiratory distress due to aspiration.
Document the indication for treatment and response to therapy.
Neonatologists should ensure that the rationale for treatment is clearly articulated.
Common causes include traumatic delivery, maternal hemorrhage, and certain obstetric complications that may lead to blood entering the amniotic fluid, which the newborn may then aspirate during or after birth.
