Excessive crying of infant (baby)
ICD-10 R68.11 is a billable code used to indicate a diagnosis of excessive crying of infant (baby).
Excessive crying in infants, often referred to as colic, is characterized by prolonged periods of inconsolable crying, typically lasting more than three hours a day, three days a week, for three weeks or longer. This condition is common in infants, particularly those under three months of age, and can be distressing for both the infant and caregivers. The crying may occur at any time of day but is often worse in the late afternoon or evening. While the exact cause of excessive crying is not fully understood, it may be related to gastrointestinal discomfort, such as gas or reflux, or may be a response to overstimulation or an immature nervous system. Clinicians should assess for other underlying conditions that may contribute to the crying, including infections, allergies, or metabolic disorders. A thorough history and physical examination are essential to rule out these possibilities and to provide reassurance to parents.
Detailed history of crying episodes, including onset, duration, and associated symptoms.
Parents report excessive crying with no identifiable cause; assessment for gastrointestinal issues.
Consideration of parental stress and its impact on infant behavior.
Acute assessment of infant, including vital signs and physical examination findings.
Infant presents with excessive crying and possible dehydration; need for immediate evaluation.
Rapid assessment to rule out acute conditions such as infections or intussusception.
Used when assessing an infant with excessive crying during a routine visit.
Document the history of present illness, physical examination findings, and any counseling provided.
Ensure that the visit is documented as medically necessary and related to the excessive crying.
Excessive crying is typically defined as crying that lasts more than three hours a day, three days a week, for three weeks or longer, without an identifiable cause.
