Other specified conditions of integument specific to newborn
ICD-10 P83.8 is a billable code used to indicate a diagnosis of other specified conditions of integument specific to newborn.
P83.8 encompasses various specified conditions affecting the integument of newborns, including sclerema neonatorum, which is characterized by hardening of the skin due to subcutaneous fat necrosis. This condition typically presents in premature infants or those with low birth weight and is associated with underlying metabolic disturbances. Sclerema neonatorum manifests as a firm, indurated skin texture, primarily affecting the extremities and trunk. The etiology is often linked to hypothermia, sepsis, or other stressors that compromise the infant's ability to maintain normal skin integrity. Diagnosis is primarily clinical, supported by the infant's history and physical examination. Management focuses on maintaining normothermia, supportive care, and addressing any underlying conditions. Early recognition and intervention are crucial to prevent complications such as skin breakdown or infection.
Detailed skin assessments, including descriptions of lesions, texture, and distribution.
NICU admissions for premature infants with skin integrity issues, monitoring for sclerema neonatorum.
Consideration of gestational age and birth weight in assessing integument conditions.
Comprehensive history including prenatal factors and postnatal assessments.
Outpatient follow-up for infants with previous integument conditions.
Awareness of developmental milestones and their impact on skin health.
Used when managing a neonate with sclerema requiring intensive monitoring.
Detailed documentation of critical care services provided.
Neonatologists must ensure accurate coding for critical care services.
Key signs include hardening of the skin, particularly on the extremities and trunk, often accompanied by a history of low birth weight or hypothermia.
