Disturbances of chlorine balance of newborn
ICD-10 P74.42 is a billable code used to indicate a diagnosis of disturbances of chlorine balance of newborn.
Disturbances of chlorine balance in newborns can manifest as either hyperchloremia or hypochloremia, which may arise from various underlying conditions such as dehydration, renal dysfunction, or metabolic disorders. These imbalances can lead to significant clinical implications, including altered acid-base status and potential respiratory or metabolic complications. Newborns are particularly vulnerable due to their immature renal function and fluid balance regulation. Clinicians must monitor electrolyte levels closely, especially in preterm infants or those with underlying health issues. Treatment typically involves correcting the underlying cause and restoring electrolyte balance through appropriate fluid management and electrolyte supplementation. Accurate coding of these conditions is essential for proper management and reimbursement, as well as for tracking outcomes in neonatal care.
Detailed records of electrolyte levels, clinical signs, and treatment protocols are essential.
Neonates in the NICU with dehydration or renal impairment requiring electrolyte monitoring.
Consideration of gestational age and birth weight, as these factors influence electrolyte management.
Documentation should include growth parameters and developmental assessments alongside electrolyte management.
Pediatric patients with a history of perinatal electrolyte disturbances presenting with growth issues.
Long-term follow-up may be necessary to assess developmental outcomes related to early electrolyte imbalances.
Used to obtain blood samples for electrolyte analysis in newborns.
Document the reason for blood draw and any relevant clinical findings.
Neonatologists should ensure that the procedure is justified based on the infant's clinical status.
Common causes include dehydration, renal impairment, and metabolic disorders. Monitoring and management are crucial to prevent complications.
