2025 ICD-10-CM code P22.0
(Active) Effective Date: N/A Revision Date: N/A Certain conditions originating in the perinatal period - Respiratory and cardiovascular disorders specific to the perinatal period 16 Certain conditions originating in the perinatal period Feed
Respiratory distress syndrome of newborn.
Medical necessity for treatment of RDS is established by the presence of respiratory distress and hypoxemia in a newborn, particularly a premature infant. The severity of the condition and the need for various interventions (e.g., oxygen, CPAP, mechanical ventilation, surfactant) should be documented to justify the level of care provided.
Diagnosis and management of RDS typically involves neonatologists and other healthcare professionals specializing in newborn care.They assess the infant's respiratory status, provide respiratory support (e.g., oxygen, CPAP, mechanical ventilation), and administer surfactant replacement therapy if necessary. Close monitoring of blood gases, vital signs, and overall clinical condition is essential.
In simple words: Respiratory distress syndrome (RDS) is a serious breathing problem most common in premature babies. Their lungs aren't fully developed and lack a slippery substance called surfactant, making it hard for them to breathe.Babies with RDS breathe fast, make grunting noises, and may have bluish skin.
Respiratory distress syndrome (RDS) is a breathing disorder that primarily affects premature infants. RDS is caused by insufficient surfactant production and underdeveloped lungs.Symptoms may include rapid, shallow breathing, grunting, and cyanosis (bluish coloring of the skin). Other terms for RDS include: Cardiorespiratory distress syndrome of newborn, Hyaline membrane disease, Idiopathic respiratory distress syndrome (IRDS), Pulmonary hypoperfusion syndrome, Respiratory distress syndrome, type I.
Example 1: A preterm infant born at 30 weeks gestation exhibits signs of respiratory distress shortly after birth, including tachypnea, grunting, and retractions. The infant is diagnosed with RDS and requires supplemental oxygen and CPAP., A newborn delivered at 34 weeks gestation develops worsening respiratory distress despite initial oxygen therapy.A chest X-ray reveals characteristic findings of RDS (ground-glass appearance), and the infant is intubated and placed on mechanical ventilation.Surfactant is administered., A term infant born via cesarean section experiences mild respiratory distress immediately after birth.The symptoms resolve within a few hours with minimal intervention, and a diagnosis of transient tachypnea of the newborn (TTN) is made, distinguishing it from more severe RDS.
Documentation for RDS should include gestational age, Apgar scores, signs and symptoms of respiratory distress (e.g., respiratory rate, oxygen saturation, use of accessory muscles, retractions, grunting, cyanosis), arterial blood gas results, chest X-ray findings, and response to treatment (e.g., oxygen therapy, CPAP, mechanical ventilation, surfactant administration).
** Respiratory distress syndrome is a leading cause of morbidity and mortality in premature infants.Early diagnosis and prompt treatment are critical to improve outcomes.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Critical Care Medicine
- Place of Service:Inpatient Hospital, Birthing Center