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2025 ICD-10-CM code P92.4

Overfeeding of a newborn infant.

This code should only be used for newborns (within the first 28 days of life).Other codes should be used for feeding problems in older infants or children.

Medical necessity is established by the presence of clinical signs and symptoms related to overfeeding and the need to adjust the infant's nutritional management to prevent adverse health outcomes.The physician should document the rationale for the diagnosis and the plan of care.

The clinical responsibility lies with the neonatologist or pediatrician managing the newborn's care.They must assess the infant's feeding patterns, weight gain, and overall health to determine if overfeeding is present and to implement appropriate management strategies.This may involve adjusting feeding volumes, types, and frequency, as well as monitoring for complications.

IMPORTANT:Related codes include other P92 codes specifying different types of feeding problems in newborns (e.g., P92.0 Vomiting of newborn, P92.3 Underfeeding of newborn).Excludes1: Eating disorders (F50.-); Excludes2: Feeding problems in child over 28 days old (R63.3-).

In simple words: This code means the baby was given too much food or milk.

This code classifies instances of overfeeding in newborn infants,a condition where the infant receives an excessive amount of nutrition, potentially leading to adverse health consequences.It's crucial to differentiate this from other feeding issues such as underfeeding or feeding difficulties unrelated to the volume of intake.This diagnosis is exclusively applicable to newborns within the first 28 days of life.

Example 1: A premature infant receiving continuous gastric feedings develops signs of hyperglycemia and respiratory distress.After reviewing the infant's weight gain and caloric intake, the physician diagnoses overfeeding., A full-term infant is frequently given large volumes of formula, leading to frequent vomiting, abdominal distension, and poor sleep patterns. Overfeeding is diagnosed., A breastfeeding mother is overzealous in breastfeeding, resulting in the infant taking in too much milk and showing signs of discomfort and digestive issues (i.e., vomiting). Diagnosis of overfeeding is made.

Thorough documentation should include the infant's birth weight, gestational age, feeding regimen (type, volume, frequency), weight gain trends, and any clinical signs or symptoms suggesting overfeeding (e.g., vomiting, diarrhea, lethargy, respiratory distress).Laboratory data (e.g., blood glucose levels) may also be relevant.

** Overfeeding in newborns can be a serious condition requiring careful attention to management.It's vital to differentiate it from other perinatal feeding disorders.The diagnosis should be based on clinical assessment, considering the infant's gestational age, weight gain, and any associated symptoms. Always consider using the most specific code available. For example, if the overfeeding was due to a specific cause such as inappropriate feeding techniques this should be documented.

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