2025 ICD-10-CM code P25.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) Certain conditions originating in the perinatal period (P00-P96) Feed
Pneumomediastinum originating in the perinatal period.
Modifiers may apply depending on the circumstances of the diagnosis and treatment; consultation with coding guidelines is recommended.
Medical necessity for coding P25.2 is established by the presence of clinically significant pneumomediastinum diagnosed through appropriate imaging and the need for medical management (e.g., monitoring, respiratory support). Documentation should show the clinical need for interventions and ongoing management.
The clinical responsibility for diagnosing and managing P25.2 lies primarily with neonatologists and pediatricians.Thorough physical examination, chest X-ray, and possibly other imaging studies are crucial. Management may include observation, respiratory support, and addressing underlying causes.
- Certain conditions originating in the perinatal period (P00-P96)
- P25.2 is part of the broader category P25, which includes various interstitial emphysema and related conditions originating in the perinatal period.
In simple words: This code describes a medical condition in newborns where air gets into the chest area between the lungs. This happens shortly before or after birth. It's only used for babies, not their mothers.
This ICD-10-CM code classifies pneumomediastinum, a condition where air is present in the mediastinum (the space between the lungs), specifically originating during the perinatal period (from before birth to the first 28 days after birth).This diagnosis is applicable only to newborns and should not be used for maternal records.The code excludes congenital malformations, chromosomal abnormalities, endocrine disorders, nutritional and metabolic diseases, injuries, poisoning, neoplasms, and neonatal tetanus.
Example 1: A newborn presents with respiratory distress shortly after birth. A chest X-ray reveals air in the mediastinum. This diagnosis requires P25.2., A premature infant develops respiratory difficulty in the neonatal intensive care unit (NICU). Imaging reveals pneumomediastinum, necessitating P25.2., A full-term infant shows signs of respiratory compromise during the first week of life.A physical exam and X-ray confirm pneumomediastinum, leading to the application of P25.2.
Detailed maternal and neonatal history, including prenatal care, labor and delivery details, and the newborn's physical exam findings.Radiological imaging (chest X-ray) confirming the presence of air in the mediastinum is essential.Any supportive respiratory support provided should also be documented.
** Accurate documentation and imaging are crucial for the correct application of this code.The condition can be associated with other perinatal respiratory problems, and it's important to correctly code any co-morbidities or complications present.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Neonatal Intensive Care Unit (NICU)