icd 10 cm code for neonatal abstinence syndrome

What does neonatal abstinence syndrome mean?

Neonatal abstinence syndrome. Neonatal abstinence syndrome (NAS) is a group of problems that occurs in a newborn who was exposed to opioid drugs for a length of time while in the mother's womb. NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone (Oxycontin), methadone, or buprenorphine.

When does a newborn suffered neonatal abstinence syndrome?

Signs of NAS can be different for every baby. Most happen within 3 days (72 hours) of birth, but some may happen right after birth or not until a few weeks after birth. They can last from 1 week to 6 months after birth. If your baby has signs of NAS, call her provider right away.

What is the prognosis of Neonatal Abstinence Syndrome (NAS)?

• poor intrauterine growth
• premature birth
• seizures
• birth defects

What is the abbreviation for neonatal abstinence syndrome?

Your baby can go home from the hospital when she:

• Is feeding well
• Is sleeping well
• Is gaining weight
• Has a good NAS score

What is neonatal abstinence syndrome?

What is neonatal abstinence syndrome? Neonatal abstinence syndrome (also called NAS) is a group of conditions caused when a baby withdraws from certain drugs he's exposed to in the womb before birth. NAS is most often caused when a woman takes drugs called opioids during pregnancy.

Is neonatal abstinence syndrome a medical diagnosis?

How is neonatal abstinence syndrome diagnosed? The diagnosis is made based on a history of medicine or substance use in the mother, or on a baby's symptoms. An accurate report of the mother's drug use is important. This includes the time the last drug was taken.

What causes neonatal abstinence syndrome?

NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone (Oxycontin), methadone, or buprenorphine. These and other substances pass through the placenta that connects the baby to its mother in the womb. The baby becomes dependent on the drug along with the mother.

What is the ICD-10-CM code for newborn affected by maternal use of alcohol?

ICD-10-CM Code for Newborn affected by maternal use of alcohol P04. 3.

What is neonatal abstinence syndrome NHS?

Following delivery, when the umbilical cord has been cut, the supply of drugs to the baby suddenly stops and the baby may show signs of physical withdrawal known as Neonatal Abstinence Syndrome (NAS).

What is the 1st line of treatment indicated in infants presenting with neonatal abstinence syndrome?

When withdrawal signs are severe, pharmacotherapy is initiated. Although no clear consensus exists on which medication is best, morphine remains the most commonly used first-line agent.

How is neonatal abstinence syndrome diagnosed?

The diagnosis is made based on a history of medicine or substance abuse in the mother. An accurate report of the mother's drug use is important. This includes the time the last drug was taken. The healthcare provider may use a scoring system to help diagnose and pinpoint how serious the baby's withdrawal is.

What is the treatment for neonatal abstinence syndrome?

To address this risk, stable, daily dosing with methadone in a therapeutic setting is recommended during pregnancy based on the view that fetal withdrawal is better controlled, although fetal distress is suggested by some studies.

Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Frequent crying (may be high pitched) Vigorous sucking on a pacifier. Sweating. Diarrhea.

Is Fetal Alcohol Syndrome a spectrum?

Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person who was exposed to alcohol before birth. These effects can include physical problems and problems with behavior and learning. Often, a person with an FASD has a mix of these problems.

What is the ICD 10 code for in utero drug exposure?

ICD-10 code P04. 49 for Newborn affected by maternal use of other drugs of addiction is a medical classification as listed by WHO under the range - Certain conditions originating in the perinatal period .

What is the ICD 10 code for rule out diagnosis?

In such case, if the rule/condition is confirmed in the final impression we can code it as Primary dx, but if the rule/out condition is not confirmed then we have to report suspected or rule/out diagnosis ICD 10 code Z03. 89 as primary dx. For Newborn, you can use category Z05 code for any rule out condition.

What is a neonatal drug withdrawal syndrome?

Clinical Information. A constellation of signs and symptoms observable in a neonate that are consistent with maternal substance abuse or withdrawal while pregnant. Fetal and neonatal addiction and withdrawal as a result of the mother's dependence on drugs during pregnancy.

What are the symptoms of fetal addiction?

Withdrawal or abstinence symptoms develop shortly after birth. Symptoms exhibited are loud, high-pitched crying, sweating, yawning and gastrointestinal disturbances.

Methods

This was a retrospective cohort study of live-born infants in Florida likely to have had NAS on the basis of ICD-10-CM hospital discharge codes.

Results

By using the Florida case definition, the PPV of ICD-10-CM codes overall was 68%. Of the 203 cases likely to be NAS, as identified by ICD-10-CM codes, 138 (68.0%) were classified as confirmed NAS, 3 (1.5%) as suspect NAS, 25 (12.3%) as monitor for NAS, and 37 (18.2%) as no NAS ( Table 1 ).

Discussion

We estimated the PPV of the 2 ICD-10-CM codes most commonly used for NAS and found that accuracy was substantially different between the 2 case definitions, and regardless of the case definition, accuracy varied by specific diagnosis code.

Conclusions

More than 95% of infants who received a diagnosis of neonatal withdrawal symptoms from maternal use of drugs of addiction (ICD-10-CM code P96.1) have objective medical record documentation of clinical signs consistent with NAS.

Acknowledgments

We acknowledge the following for their contributions to our study: Melissa Murray Jordan, MS, MPH, Florida Department of Health; Tara Hylton, MPH, Florida Department of Health; and Ashley Dixon, MPH, University of South Florida Birth Defects Surveillance Program.

Competing Interests

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Comments

Thank you authors for providing insight regarding use of ICD10 diagnostic codes in tracking NAS. Hospital coders generate inpatient ICD10 codes at the time of hospital discharge based on clinician medical record documentation that has transpired throughout the hospital course.