2025 ICD-10-CM code P70.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Endocrine, Nutritional and Metabolic Diseases - Transitory disorders of carbohydrate metabolism specific to newborn Certain conditions originating in the perinatal period (P00-P96) Feed
Other neonatal hypoglycemia; a transitory disorder of carbohydrate metabolism specific to newborns.
Modifiers may be applicable depending on the circumstances of service provision. Consult local and payer-specific guidelines for applicable modifiers.
Medical necessity for treatment of neonatal hypoglycemia is established by symptomatic presentation, such as lethargy, jitteriness, seizures, or apnea, coupled with confirmed low blood glucose levels.The severity of hypoglycemia and the need for intervention (e.g., intravenous glucose administration) must be documented to support medical necessity.
The clinical responsibility for managing neonatal hypoglycemia rests with the neonatologist or pediatrician. This involves monitoring blood glucose levels, identifying the underlying cause, and implementing appropriate treatment, which may include intravenous glucose administration or other interventions depending on the severity and cause.
In simple words: This code describes low blood sugar in a newborn baby that isn't caused by a specific reason listed in other codes.It's a temporary problem that happens only during the baby's first few weeks of life.
P70.4, Other neonatal hypoglycemia, is an ICD-10-CM code classifying a type of hypoglycemia (low blood sugar) occurring in newborns.It's categorized under transitory endocrine and metabolic disorders specific to the newborn period (P70-P74), signifying that this condition is temporary and unique to the neonatal phase. This code encompasses cases of neonatal hypoglycemia that don't fit into other specified categories within the P70 range (such as those related to maternal diabetes or iatrogenic causes). The condition arises due to the infant's adaptation to extrauterine life or maternal endocrine/metabolic factors.
Example 1: A newborn infant presents with hypoglycemia (low blood glucose) on day 2 of life.No clear underlying cause, such as maternal diabetes, is identified.The hypoglycemia resolves with intravenous glucose administration.P70.4 is assigned., A term infant exhibits jitteriness and lethargy a few hours after birth, and blood glucose testing reveals hypoglycemia. The mother had no known diabetes during pregnancy.After treatment and stabilization, the hypoglycemia resolves. This scenario would utilize P70.4., A premature infant, born at 28 weeks gestation, develops hypoglycemia on day 5 of life.Blood sugar monitoring shows recurrent episodes of low blood glucose, and treatment includes intravenous glucose administration.No clear reason for the hypoglycemia is found despite thorough investigation.Code P70.4 is used.
Maternal history (including gestational diabetes), birth history (gestational age, birth weight), detailed physical examination findings, blood glucose levels (both initial and subsequent measurements), treatment administered, and response to treatment.
** This code is for use only on newborn records.It should not be used on maternal records.The condition must be transitory and resolve within the neonatal period (first 28 days of life).
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center