2025 ICD-10-CM code P29.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Cardiovascular disorders Certain conditions originating in the perinatal period (P00-P96) Feed
Transient myocardial ischemia in a newborn.
No modifiers are typically applied to ICD-10-CM codes.
Medical necessity for further evaluation and management depends on the clinical presentation, severity of the ischemia, and the presence of any associated complications. It should be supported by evidence from the documentation above.
The clinical responsibility for diagnosing and managing transient myocardial ischemia in newborns rests primarily with neonatologists, pediatricians, and cardiologists.This may involve a multidisciplinary approach depending on the severity and associated findings.
- Certain conditions originating in the perinatal period (P00-P96)
- P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period
In simple words: This code describes a temporary lack of blood flow to the heart muscle in a newborn baby. This can happen shortly before, during, or after birth and might not cause any noticeable symptoms. Doctors use tests to diagnose this condition and rule out more serious heart problems.
Transient myocardial ischemia in a newborn refers to a temporary reduction in blood flow to the heart muscle in a newborn infant. This condition, occurring during the perinatal period (from birth through the first 28 days of life), can manifest with varying degrees of severity and may be asymptomatic or present with subtle clinical signs.It's crucial to distinguish this from congenital heart defects.The diagnosis often involves clinical evaluation, electrocardiograms, and potentially other diagnostic tests.
Example 1: A full-term infant is born with signs of respiratory distress.After stabilization, an electrocardiogram reveals evidence of transient myocardial ischemia. The baby is monitored closely, and the ischemia resolves within 24 hours without intervention., A premature infant develops cyanosis and hypotension shortly after birth.Cardiac monitoring reveals episodes of decreased heart rate and variability suggestive of transient myocardial ischemia.Treatment involves supportive care and close observation., A newborn with a history of perinatal asphyxia presents with mild tachycardia and elevated cardiac enzymes.Electrocardiographic changes and cardiac enzyme levels suggest transient myocardial ischemia.The baby is monitored for cardiac arrhythmias and other potential complications.
Detailed medical history including maternal and perinatal risk factors, physical examination findings (heart rate, blood pressure, respiratory rate, oxygen saturation), electrocardiograms, cardiac enzyme levels (if obtained), and any other relevant diagnostic test results.
** This condition is often associated with perinatal asphyxia and other perinatal complications.Accurate documentation is essential for appropriate coding and reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Neonatology, Cardiology, Pediatrics
- Place of Service:Inpatient Hospital, Neonatal Intensive Care Unit (NICU)