Transient neonatal neutropenia
ICD-10 P61.5 is a billable code used to indicate a diagnosis of transient neonatal neutropenia.
Transient neonatal neutropenia (TNN) is a hematological condition characterized by a temporary decrease in neutrophil count in newborns, typically occurring within the first few days of life. This condition can be associated with maternal factors such as infection, medication exposure, or autoimmune disorders. In most cases, TNN is self-limiting and resolves without intervention, although monitoring is essential to prevent potential infections due to the reduced neutrophil levels. The clinical presentation may include signs of infection, but many infants remain asymptomatic. Diagnosis is confirmed through complete blood count (CBC) showing neutrophil counts below the normal range for neonates. Management primarily involves supportive care, with close monitoring of the infant's clinical status and laboratory parameters. Understanding the underlying causes and associated risk factors is crucial for effective management and coding of this condition, as it may overlap with other hematological disorders such as thrombocytopenia and polycythemia, which also require careful documentation and coding.
Detailed neonatal history, including maternal health and delivery complications, along with laboratory results.
Infants presenting with low neutrophil counts in the NICU, especially those with maternal infections or autoimmune disorders.
Ensure accurate coding based on laboratory findings and clinical assessments to avoid misdiagnosis.
Comprehensive pediatric assessments, including growth and development evaluations, and follow-up on hematological status.
Pediatric visits for infants previously diagnosed with TNN, monitoring for potential long-term effects.
Consider the impact of TNN on overall health and development in pediatric care.
Used to monitor neutrophil levels in infants diagnosed with TNN.
Document the indication for the CBC and any clinical findings.
Neonatologists should ensure that the CBC is performed in a timely manner to assess the infant's condition.
Common causes include maternal infections, exposure to certain medications during pregnancy, and autoimmune disorders. It is important to assess maternal health history to identify potential contributing factors.
