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2025 ICD-10-CM code P29.0

Neonatal cardiac failure. This code is specific to newborns and indicates the heart's inability to pump enough blood to meet the body's needs.

Code P29.0 should only be used for newborn records and not maternal records.It should not be used if a congenital malformation of the circulatory system is the cause of the heart failure; the appropriate code from the Q20-Q28 range should be used instead.

Medical necessity for the diagnosis and treatment of neonatal cardiac failure is established by the presence of signs and symptoms indicating the heart's inability to adequately pump blood and oxygenate the newborn's body.The documentation should clearly support the diagnosis and justify the medical interventions.

Diagnosing and managing neonatal cardiac failure typically falls under the purview of neonatologists and pediatric cardiologists.They are responsible for assessing the newborn's cardiac function, determining the underlying cause of the failure, and implementing appropriate treatment strategies.

In simple words: The newborn's heart is not pumping enough blood for their body.

Neonatal cardiac failure. This condition originates in the perinatal period (from before birth through the first 28 days after birth).It should be noted that ICD-10 codes from chapter P00-P96 are exclusively for newborn records.Congenital malformations of the circulatory system (Q20-Q28) are excluded from this code.

Example 1: A premature infant born at 28 weeks develops respiratory distress and signs of heart failure shortly after birth.After examination and diagnostic tests, the neonatologist diagnoses the infant with neonatal cardiac failure., A full-term newborn exhibits cyanosis (bluish discoloration of the skin), feeding difficulties and rapid breathing which leads to a diagnosis of neonatal cardiac failure., A newborn with a congenital heart defect (CHD) such as a ventricular septal defect (VSD) experiences worsening symptoms of heart failure in the first week of life and a diagnosis of neonatal cardiac failure is given

Documentation should include: clinical findings like heart rate, respiratory rate, presence of murmurs, cyanosis, edema; diagnostic test results, such as echocardiograms, chest x-rays, and blood tests; underlying conditions or causes; treatment plan.

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