Hyperchloremia of newborn
ICD-10 P74.421 is a billable code used to indicate a diagnosis of hyperchloremia of newborn.
Hyperchloremia in newborns refers to an elevated level of chloride in the blood, which can occur due to various factors including dehydration, renal dysfunction, or excessive chloride intake. This condition is often transient and may resolve with appropriate management. In neonates, hyperchloremia can be associated with other electrolyte imbalances, such as hypernatremia or hypokalemia, and may indicate underlying metabolic disturbances. Clinicians must monitor electrolyte levels closely, especially in premature infants or those with significant health issues. Treatment typically involves correcting the underlying cause, which may include fluid replacement or adjustments in electrolyte administration. Understanding the clinical context and potential complications is crucial for effective management and coding of this condition.
Detailed records of electrolyte levels, treatment protocols, and clinical observations.
NICU admissions for dehydration, renal impairment, or after surgical interventions.
Consideration of gestational age and birth weight in interpreting electrolyte levels.
Thorough documentation of patient history, presenting symptoms, and follow-up care.
Pediatric patients with a history of perinatal complications or metabolic disorders.
Awareness of developmental milestones and their impact on metabolic health.
Used to obtain blood samples for electrolyte testing in newborns.
Document the reason for blood draw and any relevant clinical findings.
Neonatologists should ensure that the procedure is justified based on clinical need.
Common causes include dehydration, renal dysfunction, and excessive chloride intake, often requiring careful monitoring and management in the NICU.
