Transitory metabolic disturbance of newborn, unspecified
ICD-10 P74.9 is a billable code used to indicate a diagnosis of transitory metabolic disturbance of newborn, unspecified.
Transitory metabolic disturbances in newborns can arise from various factors, including maternal conditions, nutritional deficiencies, or physiological adaptations to extrauterine life. These disturbances are often temporary and may manifest as electrolyte imbalances, hypoglycemia, or metabolic acidosis. Common causes include inadequate feeding, maternal diabetes, or perinatal asphyxia. Clinically, these conditions may present with symptoms such as lethargy, poor feeding, irritability, or abnormal vital signs. Diagnosis typically involves laboratory tests to assess blood glucose levels, electrolyte panels, and metabolic screening. Management focuses on correcting the underlying cause, such as providing appropriate nutrition or electrolyte replacement. Most newborns recover fully with timely intervention, but close monitoring is essential to prevent complications. Accurate coding of these conditions is crucial for appropriate treatment and reimbursement.
Detailed notes on clinical presentation, laboratory results, and treatment plans are essential for accurate coding.
Common scenarios include a newborn presenting with hypoglycemia due to inadequate feeding or electrolyte imbalances following maternal diabetes.
Neonatologists must ensure that all relevant clinical data is documented to support the diagnosis and coding of transitory metabolic disturbances.
Pediatricians should document any perinatal history that may contribute to metabolic disturbances, including maternal health issues.
Pediatric cases may involve follow-up care for newborns with metabolic disturbances that require ongoing monitoring.
Pediatric coding must reflect the transition from neonatal to pediatric care, ensuring continuity in documentation and coding.
Used for obtaining blood samples to assess metabolic disturbances in newborns.
Document the reason for blood draw and any relevant clinical findings.
Neonatologists should ensure that the clinical necessity for testing is clearly documented.
Common causes include maternal diabetes, inadequate feeding, and perinatal asphyxia. These conditions often resolve with appropriate management.
