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2025 ICD-10-CM code P05.2

Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age. Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue.

This code should only be used for newborn records and should not be used on maternal records. It should not be used if the infant is considered small or light for gestational age (codes P05.0, P05.1).

Medical necessity is established by the presence of clinical findings indicating fetal malnutrition in a newborn. The documentation should clearly link the newborn's condition to the diagnosis to justify the use of this code.

Assessment and initial management of newborns with fetal malnutrition are typically performed by pediatricians or neonatologists.They will evaluate the newborn's condition, determine the severity of malnutrition, and initiate appropriate treatment and monitoring.

IMPORTANT:Excludes1: newborn affected by fetal malnutrition with light for gestational age (P05.0-) newborn affected by fetal malnutrition with small for gestational age (P05.1-)

In simple words: This code describes a baby born with signs of not getting enough nutrition in the womb, but who is of normal weight and size for how far along the pregnancy was.

Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age. This condition is characterized by signs of fetal malnutrition in a newborn who is not considered light or small for their gestational age. These signs may include dry, peeling skin and loss of subcutaneous tissue.

Example 1: A newborn infant is born at 38 weeks gestation with a birth weight of 3000 grams (appropriate for gestational age). The infant presents with dry, peeling skin and noticeable loss of subcutaneous fat, indicating possible fetal malnutrition.The infant is otherwise healthy, with no other apparent complications., A baby born at 40 weeks gestation weighing 3200 grams, demonstrates reduced subcutaneous fat and dry, flaky skin despite being within the normal weight range. Further assessment reveals that the mother experienced placental insufficiency during the pregnancy, potentially restricting the flow of nutrients to the developing fetus., A newborn delivered at term shows signs of fetal malnutrition, such as dry, peeling skin, despite having a normal birth weight.Upon review of the mother's medical history, it's discovered that she suffered from uncontrolled gestational diabetes. Although the baby's size was not affected, the high blood sugar levels may have interfered with nutrient absorption, leading to the observed signs.

Documentation should include details about the infant's gestational age, birth weight, and specific clinical findings suggesting fetal malnutrition, such as dry, peeling skin, and reduced subcutaneous fat.Any maternal conditions or complications during pregnancy that may have contributed to fetal malnutrition, such as placental insufficiency, pre-eclampsia, or maternal substance abuse, should also be documented.

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