Full Answer
Post-term newborn. P08.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM P08.21 became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code P92.9. Feeding problem of newborn, unspecified. P92.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Q24.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Q24.8 became effective on October 1, 2018. This is the American ICD-10-CM version of Q24.8 - other international versions of ICD-10 Q24.8 may differ.
The ICD-10 WHO definition of „birth asphyxia”as „failing to initiate and sustain breathing at birth”[4] is specified by the two categories of codes: P20 “intrauterine hypoxia” und P21 “birth asphyxia”, Fig 1. Instead of severity and medical accuracy, the categories are classified by “onset characteristics” (intrauterine versus birth asphyxia).
The 2022 edition of ICD-10-CM R65. 11 became effective on October 1, 2021. This is the American ICD-10-CM version of R65.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
Single liveborn infant, unspecified as to place of birth Z38. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z38. 2 became effective on October 1, 2021.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
M62. 81 Muscle Weakness (generalized) Specify etiology of weakness, such as musculoskeletal disorder, stroke, brain injury, etc. R53. 1 Weakness Specify etiology of weakness, such as musculoskeletal disorder, stroke, brain injury, etc.
ICD-10 code Z74. 09 for Other reduced mobility is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A neonate is also called a newborn. The neonatal period is the first 4 weeks of a child's life. It is a time when changes are very rapid.
Codes from chapter 15, Pregnancy, Childbirth and the Puerperium, should never be reported on the newborn record.
A code from category Z38 is assigned only once, to a newborn at the time of birth. If a newborn is transferred to another institution, a code from category Z38 should not be used at the receiving hospital. A code from category Z38 is used only on the newborn record not on the mothers record.
R53. 83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
For ambulatory surgery, code the diagnosis for which the surgery was performed. If the postoperative diagnosis is known to be different from the preoperative diagnosis at the time the diagnosis is confirmed, select the postoperative diagnosis for coding, since it is the most definitive.
ICD-10 code R41.
A nutritional condition produced by a deficiency of vitamin d in the diet, insufficient production of vitamin d in the skin, inadequate absorption of vitamin d from the diet, or abnormal conversion of vitamin d to its bioactive metabolites.
ICD-10-CM Code for Other malaise and fatigue R53. 8.
VICC considers the correct code to assign for documentation of functional decline is R53 Malaise and fatigue following Index lead term Decline (general) (see also Debility) R53.
F02. 8* Dementia in other specified diseases classified elsewhere.
The 2022 edition of ICD-10-CM P91.819 became effective on October 1, 2021.
P91.819 should be used on the newborn record - not on the maternal record. The following code (s) above P91.819 contain annotation back-references. Annotation Back-References. In this context, annotation back-references refer to codes that contain: Applicable To annotations, or. Code Also annotations, or.
The 2022 edition of ICD-10-CM P00.89 became effective on October 1, 2021.
T88 Other complications of surgical and medi... Newborn affected by maternal genital tract or other localized infections. Newborn affected by maternal systemic lupus erythematosus. Use Additional. Use Additional Help. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.
The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
newborn affected by maternal complications of pregnancy ( P01.-) newborn affected by maternal endocrine and metabolic disorders ( P70-P74) newborn affected by noxious substances transmitted via placenta or breast milk ( P04.-) Newborn affected by maternal conditions that may be unrelated to present pregnancy.
P00.89 should be used on the newborn record - not on the maternal record.
The 2022 edition of ICD-10-CM P92.9 became effective on October 1, 2021.
P92.9 should be used on the newborn record - not on the maternal record.
The ICD-10 WHO definition of „birth asphyxia”as „failing to initiate and sustain breathing at birth” [ 4] is specified by the two categories of codes: P20 “intrauterine hypoxia” und P21 “birth asphyxia”, Fig 1. Instead of severity and medical accuracy, the categories are classified by “onset characteristics” (intrauterine versus birth asphyxia). The code P20 “intrauterine hypoxia” has broad inclusion terms and manifestation properties (symptoms) but lacks clear definition and criteria (e.g. „abnormal fetal heart rate“, „distress”), diagnostic criteria and threshold values (e.g. „acidosis“, „anoxia“, „asphyxia“, „hypoxia“) as well as a correlation with the clinical state (e.g. „meconium in liquor“, „passage of meconium“).
The clinical definition of the term “birth asphyxia” on the other hand has changed over the past 20 years from „failing to initiate and sustain breathing at birth”to „intrapartum-related hypoxia“. Both definitions are complex and open to interpretation [ 6 ]. Anne CC Lee [ 7] classifies measures of intra-partum-related hypoxia into three clusters of terms: 1) process-based indicators (i.e., measures of abnormal obstetric processes), 2) clinical sign-based indicators (i.e., low Apgar scores, fetal acidosis), and 3) outcome-based indicators (i.e. fetal-neonatal mortality or morbidity). Previously, symptom-based indicators, such as the Apgar score, were commonly used to define “birth asphyxia”. Here we note an obvious inconsistency between diagnosis criteria concerning ICD-10 code and medical diagnosis. It is probable that signs such as „abnormal fetal heart rate”or „meconium in liquor”would be encoded as P20.1 “intrauterine hypoxia”, without the clinical diagnosis “hypoxia” being present itself.
Most of the patients in this group show no apparent signs of illness. Most cases (45% of „normal clinical finding“ ) were originally encoded in group P20.1 (142 of 318), which is due to the specified criteria such as abnormal fetal heart rate or meconium in liquor. The criteria and values set up for defining normal clinical finding in model “Model Matrix” enables coding to be more precise with respect to a distinction between normal and asphyxia. As a result of revising the cases with diagnosis P20 intrauterine hypoxia and P21 birth asphyxia according to model „Model Matrix”most cases were allocated into new groups: “normal clinical finding” (33%) and “metabolic acidosis without neurological impairment” (14%). With these two groups of patients (together 293 cases of 622, 47% of total) a clinical impact of birth hypoxia could be ruled out with a high probability. This statement could be confirmed by analyzing the patients’ records.
Asphyxia in the Newborn: Evaluating the Accuracy of ICD Coding, Clinical Diagnosis and Reimbursement: Observational Study at a Swiss Tertiary Care Center on Routinely Collected Health Data from 2012-2015
The inconsistencies between the definitions of the clinical diagnosis and ICD code cause an inadequate assignment of costs and resources , especially with regard to the severity of disease.
The American Academy of Pediatrics (AAP) and the American College of Obstetrics and Gynecology (ACOG) encourages the term „neonatal encephalopathia” (NE) instead of „hypoxic-ischemic or post-asphyxial encephalopathia“, except where injury by intrauterine hypoxia is highly probable [ 9 ].
The originally encoded diagnosis P20.0 showed a heterogeneous distribution to all groups from severe asphyxia to normal clinical finding ( Table 6 ). Most of the cases of P20.1 had to be mapped to „Norm” (142 cases, 45%) or to P20.1 “metabolic acidosis without neurological impairment” (64 cases, 20%), in total 65% (206 cases) of originally encoded diagnosis P20.1. 41 cases (30%) of severe asphyxia (P21.0) remained in the same category.