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2025 ICD-10-CM code P25.2

Pneumomediastinum originating in the perinatal period.

This code should only be used for newborns (within the first 28 days of life) and should not be applied to the mother's record.Accurate documentation of the imaging findings is crucial for correct coding.

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.

IMPORTANT:Related codes within the P25 category include P25.0 (Interstitial emphysema), P25.1 (Pneumothorax), P25.3 (Pneumopericardium), and P25.8 (Other related conditions).

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.

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