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2025 ICD-10-CM code P92.09

Other vomiting of newborn. This code excludes regurgitation of food (P92.1).

This code is intended for use on the newborn's medical record, not the mother's. It is only applicable for infants up to 28 days old.Vomiting in older infants should be coded using a different code from the R11 category.Distinguish carefully between vomiting and regurgitation or spitting up.

Medical necessity for the use of P92.09 is established when a newborn exhibits vomiting beyond typical spitting up, potentially indicating an underlying medical condition or feeding problem that requires further evaluation and management to ensure the newborn's well-being. The vomiting may be affecting the infant’s hydration or nutrition, necessitating medical intervention.

The responsibility for diagnosing and documenting P92.09 falls on the healthcare provider attending to the newborn, typically a pediatrician or neonatologist.They are responsible for distinguishing between normal spitting up and vomiting requiring further investigation, as well as identifying any underlying causes and initiating appropriate treatment.

In simple words: This code is used to describe a newborn baby (up to 28 days old) who is vomiting for reasons other than spitting up or reflux.It is important to distinguish this from normal spitting up, which is common in newborns.

Other vomiting of newborn. Excludes1: regurgitation of food in newborn (P92.1). Parent Code Notes: P92.0 Excludes1: vomiting of child over 28 days old (R11.-). Parent Code Notes: P92 Excludes1: eating disorders (F50.-) Excludes2: feeding problems in child over 28 days old (R63.3-)

Example 1: A 3-day-old newborn is brought to the pediatrician's office because he has been vomiting forcefully after every feeding for the past 24 hours. He appears dehydrated. The physician determines that it is not simple reflux and documents the diagnosis as P92.09., A 10-day-old infant presents with vomiting and diarrhea.After ruling out infections and other causes, the pediatrician diagnoses the infant with P92.09 to indicate a feeding problem distinct from regurgitation., A 2-week-old baby girl is seen in the emergency room because she has been vomiting and is not gaining weight. After a thorough examination and tests, no specific cause is found.She is diagnosed with P92.09, indicating a non-specific feeding problem manifesting as vomiting.

Documentation should support the presence of vomiting beyond normal spitting up, the newborn's age (less than 28 days old), and any associated symptoms like dehydration, weight loss, or other signs of distress. Any diagnostic testing performed to rule out other conditions should also be documented. It’s crucial to distinguish this from regurgitation and provide sufficient clinical details.

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