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v1.0.0
ICD-10 Guide
ICD-10 CodesP71.1

P71.1

Billable

Other neonatal hypocalcemia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P71.1 is a billable code used to indicate a diagnosis of other neonatal hypocalcemia.

Key Diagnostic Point:

Other neonatal hypocalcemia (P71.1) refers to a condition characterized by low serum calcium levels in newborns, which can lead to various clinical manifestations. This condition is often transitory and can arise from several factors, including maternal vitamin D deficiency, prematurity, or parathyroid hormone dysfunction. Hypocalcemia in neonates may present with symptoms such as jitteriness, muscle twitching, seizures, or poor feeding. The diagnosis is typically confirmed through serum calcium measurements, and treatment may involve calcium supplementation or addressing underlying causes. It is crucial for healthcare providers to monitor calcium levels in at-risk infants, particularly those born prematurely or with low birth weight, as they are more susceptible to metabolic disturbances. Understanding the etiology and management of neonatal hypocalcemia is essential for optimizing outcomes in this vulnerable population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between transient and persistent hypocalcemia
  • Identifying underlying causes such as maternal conditions or prematurity
  • Need for precise laboratory values and documentation
  • Variability in clinical presentation among neonates

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to specify the underlying cause of hypocalcemia
  • Misclassification of transient vs. persistent hypocalcemia
  • Lack of follow-up documentation on treatment response

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of calcium levels, clinical symptoms, and treatment plans are essential.

Common Clinical Scenarios

Neonates presenting with jitteriness or seizures in the NICU, requiring calcium level assessment.

Billing Considerations

Consideration of maternal health history and potential genetic factors influencing calcium metabolism.

Pediatrics

Documentation Requirements

Documentation should include growth parameters and developmental assessments.

Common Clinical Scenarios

Pediatric follow-up for infants with a history of neonatal hypocalcemia.

Billing Considerations

Monitoring for long-term effects of hypocalcemia on growth and development.

Coding Guidelines

Inclusion Criteria

Use P71.1 When
  • Coders should adhere to the official ICD
  • 10 guidelines, ensuring accurate documentation of the clinical scenario, laboratory results, and treatment plans
  • Specific criteria for neonatal conditions must be met, including age at diagnosis and clinical presentation

Exclusion Criteria

Do NOT use P71.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99188CPT Code

Calcium level measurement

Clinical Scenario

Used to confirm diagnosis of hypocalcemia in neonates.

Documentation Requirements

Document the indication for the test and results.

Specialty Considerations

Neonatologists should ensure timely testing in at-risk infants.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses like P71.1 and enhancing data collection for research and quality improvement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses like P71.1 and enhancing data collection for research and quality improvement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Neonatal Hypocalcemia Guidelines

Coding & Billing References

  • •
    Neonatal Hypocalcemia Guidelines

Frequently Asked Questions

What are the common causes of neonatal hypocalcemia?

Common causes include maternal vitamin D deficiency, prematurity, and parathyroid hormone dysfunction. It is important to assess the infant's clinical history and laboratory results to determine the underlying cause.