Neonatal aspiration of milk and regurgitated food
ICD-10 P24.3 is a billable code used to indicate a diagnosis of neonatal aspiration of milk and regurgitated food.
Neonatal aspiration of milk and regurgitated food refers to the inhalation of milk or food particles into the lungs of a newborn, which can lead to respiratory complications. This condition is particularly common in premature infants or those with poor feeding coordination. Aspiration can occur during feeding when the infant's swallowing reflex is not fully developed, leading to the entry of milk into the trachea instead of the esophagus. Symptoms may include coughing, choking, respiratory distress, and abnormal lung sounds. Meconium aspiration syndrome, a related condition, occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs during or before delivery, leading to significant respiratory issues. Proper identification and management of aspiration syndromes are crucial in neonatal care to prevent long-term pulmonary complications and ensure optimal outcomes for affected infants.
Detailed documentation of feeding history, respiratory assessment, and any interventions performed.
Infants in the NICU experiencing respiratory distress after feeding, requiring suctioning or respiratory support.
Consideration of the infant's gestational age and any underlying conditions that may predispose them to aspiration.
Comprehensive documentation of the infant's feeding patterns, growth parameters, and any follow-up care.
Outpatient follow-up for infants with a history of aspiration, monitoring for developmental milestones.
Awareness of the long-term implications of aspiration on respiratory health and feeding development.
Used for infants with respiratory distress due to aspiration.
Document the indication for treatment and response to therapy.
Neonatologists should ensure that the treatment aligns with the diagnosis of aspiration.
Common symptoms include coughing, choking during feeds, respiratory distress, and abnormal lung sounds. Infants may also exhibit signs of feeding intolerance, such as vomiting or regurgitation.