2025 ICD-10-CM code P29.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal Conditions - Cardiovascular disorders originating in the perinatal period Chapter 17: Certain conditions originating in the perinatal period (P00-P96) Feed
Neonatal cardiac dysrhythmia is an abnormal heart rhythm in a newborn.
Medical necessity for the diagnosis and management of neonatal cardiac dysrhythmias is established by the presence of symptoms or findings indicative of an abnormal heart rhythm which pose a risk to the newborn's health and well-being.This may include symptoms such as cyanosis, pallor, poor feeding, lethargy, or respiratory distress. Diagnostic testing such as ECG and echocardiography is medically necessary for determining the cause, severity, and appropriate management of the arrhythmia.
The clinical responsibility for diagnosing and managing neonatal cardiac dysrhythmia typically falls upon neonatologists, pediatric cardiologists, or other physicians specializing in the care of newborns. This involves a comprehensive assessment of the newborn's condition, including a thorough history, physical examination, and often electrocardiography (ECG) and echocardiography.
- Chapter 17: Certain conditions originating in the perinatal period (P00-P96)
- P29 - Cardiovascular disorders originating in the perinatal period
In simple words: This code describes an irregular heartbeat in a baby during the first month of life.Doctors use special tests to find out what kind of irregular heartbeat it is and how to best help the baby.
P29.1, Neonatal cardiac dysrhythmia, is an ICD-10-CM code that classifies abnormal heart rhythms (arrhythmias) occurring in newborns during the first 28 days of life.This encompasses a variety of irregular heartbeats, including bradycardia (slow heart rate), tachycardia (fast heart rate), and other rhythm disturbances.The diagnosis requires careful clinical assessment, often involving electrocardiography (ECG) to identify the specific type and severity of the arrhythmia.Appropriate management depends on the underlying cause and the clinical presentation, ranging from observation to medication or interventional procedures.
Example 1: A premature infant exhibits bradycardia (slow heart rate) in the first week of life.ECG reveals a junctional rhythm.The infant requires close monitoring and possible medication adjustment., A full-term newborn presents with tachycardia (rapid heart rate) and signs of congestive heart failure.Echocardiography reveals a structural heart defect requiring surgical intervention., A newborn displays supraventricular tachycardia (SVT) during the neonatal period.Electrocardiogram (ECG) confirms diagnosis. Treatment involves medication management to control heart rate and rhythm.
Detailed prenatal history (including maternal conditions), complete description of the newborn’s clinical presentation (including vital signs, physical examination findings, and symptoms), electrocardiogram (ECG) reports, echocardiography reports (if performed), laboratory results (if any), treatment plan (including medications, interventions, or monitoring strategies), and the baby’s response to treatment.
** This code is for use only on newborn records, never on maternal records.It excludes congenital malformations, deformations, chromosomal abnormalities, endocrine, nutritional and metabolic diseases, injury, poisoning, neoplasms, and tetanus neonatorum.Always ensure proper documentation to support the diagnosis.
- Payment Status: Active
- Specialties:Neonatology, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center