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2025 ICD-10-CM code P23.9

Congenital pneumonia, unspecified.

This code is specifically for use in newborns, not mothers.It's used when a specific causative organism is not identified. If known, code the specific organism.

Medical necessity for this code requires that the pneumonia be present at or shortly after birth, impacting the newborn's respiratory function.The diagnosis should be supported by clinical findings, imaging, and laboratory tests as available.

Diagnosing and treating the newborn with congenital pneumonia involves neonatologists, pediatricians, or other specialized medical professionals. They assess the infant's respiratory distress and determine the appropriate antibiotic treatment. Supportive care, such as oxygen therapy, may be necessary.

In simple words: A newborn baby has pneumonia that they got before or during birth. The exact germ causing the pneumonia isn't known.

This code describes a newborn's lung infection acquired in utero or during birth, where the specific infectious agent is not documented.

Example 1: A newborn presents with rapid breathing, difficulty feeding, and low oxygen levels shortly after birth, indicating signs of congenital pneumonia, but the causative agent is unknown., A baby is born prematurely and develops respiratory distress. After ruling out other causes, congenital pneumonia is diagnosed, though no specific infection is identified., A newborn exhibits symptoms of sepsis along with respiratory problems. Congenital pneumonia is suspected, and broad-spectrum antibiotics are administered while further tests are conducted.

Documentation should include evidence of respiratory distress in the newborn period, such as rapid breathing, grunting, and retractions. Chest X-rays or other imaging studies may reveal lung abnormalities. Lab tests, if performed, may offer clues, although the exact organism isn't always identified. The mother's medical history might contain clues to potential infectious exposures during pregnancy.

** Congenital pneumonia is distinct from neonatal pneumonia acquired after birth. Distinguishing between congenital and early-onset neonatal pneumonia can be challenging, necessitating careful evaluation.Consult with iFrameAI for additional guidance.

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