Neonatal tetany without calcium or magnesium deficiency
ICD-10 P71.3 is a billable code used to indicate a diagnosis of neonatal tetany without calcium or magnesium deficiency.
Neonatal tetany is a condition characterized by muscle spasms and twitching due to neuromuscular irritability. In the context of P71.3, this condition occurs without underlying deficiencies in calcium or magnesium. It is often transitory and can be associated with various metabolic disturbances in newborns, particularly hypocalcemia. Hypocalcemia in neonates can arise from several factors, including maternal vitamin D deficiency, prematurity, or parathyroid hormone dysfunction. Clinically, neonates may present with symptoms such as irritability, tremors, and seizures. Diagnosis typically involves serum calcium level assessment, and treatment may include calcium supplementation. Understanding the etiology and management of neonatal tetany is crucial for effective care and coding, as it can impact the newborn's immediate health and long-term development.
Detailed clinical notes on symptoms, lab results, and treatment plans are essential.
Neonates presenting with irritability and muscle spasms in the NICU.
Ensure that documentation clearly states the absence of calcium or magnesium deficiency.
Pediatric notes should include developmental assessments and follow-up care plans.
Pediatric follow-up for neonates discharged with a history of tetany.
Consider the long-term implications of neonatal tetany on growth and development.
Used when a neonate with tetany requires critical care management.
Document the severity of symptoms and interventions provided.
Neonatologists should ensure comprehensive documentation of clinical status.
Common symptoms include muscle spasms, irritability, and tremors. These symptoms can vary in severity and may require immediate medical evaluation.