Neonatal skin infection
ICD-10 P39.4 is a billable code used to indicate a diagnosis of neonatal skin infection.
Neonatal skin infections are common in the perinatal period and can arise from various etiologies, including bacterial, viral, and fungal pathogens. These infections often manifest as localized skin lesions, pustules, or systemic infections that may require immediate medical attention. The most prevalent skin infections in neonates include staphylococcal infections, which can lead to conditions such as impetigo or cellulitis, and fungal infections like candidiasis. Risk factors for neonatal skin infections include prematurity, low birth weight, and compromised immune systems. Clinical presentation may vary from mild erythema to severe systemic illness, necessitating prompt diagnosis and treatment. Management typically involves appropriate antimicrobial therapy, wound care, and monitoring for potential complications. Accurate coding of neonatal skin infections is crucial for effective treatment planning and resource allocation in neonatal intensive care units (NICUs).
Detailed clinical notes including the onset, duration, and characteristics of the skin infection, as well as any laboratory results.
Neonates presenting with pustular lesions, erythema, or systemic signs of infection in the NICU.
Consideration of the neonate's gestational age and overall health status when coding.
Thorough history and physical examination notes, including family history of skin infections.
Outpatient follow-up visits for neonates with previously diagnosed skin infections.
Awareness of the potential for skin infections to recur in pediatric patients.
Used when a neonate with a skin infection requires critical care management.
Detailed notes on the neonate's condition, treatment provided, and response to interventions.
Neonatologists should ensure that all critical care elements are documented to support billing.
Common causes of neonatal skin infections include bacterial pathogens such as Staphylococcus aureus and Streptococcus species, as well as fungal infections like Candida. Risk factors include prematurity, low birth weight, and invasive procedures.
