Umbilical granuloma
ICD-10 P83.81 is a billable code used to indicate a diagnosis of umbilical granuloma.
Umbilical granuloma is a common condition observed in newborns, characterized by the formation of a small, benign growth at the site of the umbilical cord stump after it has fallen off. This condition typically arises due to incomplete healing of the umbilical cord area, leading to an overgrowth of granulation tissue. Clinically, umbilical granulomas appear as small, reddish-brown nodules that may be moist or dry and can sometimes be associated with mild discharge. While they are generally harmless, they can become a source of irritation or infection if not properly managed. Treatment often involves the application of topical agents or, in some cases, surgical excision. It is essential for healthcare providers to monitor the umbilical area for signs of infection or other complications, ensuring that the granuloma does not interfere with the overall health of the newborn. Proper documentation and coding are crucial for accurate billing and to reflect the clinical management of this condition.
Neonatologists must document the size, appearance, and any associated symptoms of the umbilical granuloma, as well as the treatment plan and follow-up care.
Common scenarios include a newborn presenting with a granuloma during routine check-ups or after the umbilical stump has fallen off.
Neonatologists should be aware of the potential for infection and the need for timely intervention if the granuloma does not resolve.
Pediatricians should document the history of the umbilical granuloma, including any parental concerns and the response to treatment.
Pediatric visits may involve follow-up assessments of the granuloma and discussions with parents about care and management.
Pediatricians should consider the psychosocial aspects of parental anxiety regarding the granuloma and provide reassurance.
Used when surgical excision of the granuloma is performed.
Document the size of the granuloma and the method of excision.
Neonatologists should ensure that the procedure is justified based on clinical findings.
Treatment for umbilical granuloma often involves the application of topical agents such as silver nitrate or, in some cases, surgical excision if the granuloma is persistent or symptomatic.
