2025 ICD-10-CM code P37.2
Neonatal (disseminated) listeriosis. This condition is a disseminated infection acquired by the newborn from the mother, typically before or during birth.
Medical necessity for services related to P37.2 is established by the presence of clinical signs and symptoms of neonatal listeriosis in the newborn and confirmed by positive cultures for Listeria monocytogenes.The severity of the infection and the need for treatment, including hospitalization and specialized care, contribute to the medical necessity.
The diagnosis and management of neonatal listeriosis fall under the responsibility of neonatologists, pediatricians specializing in newborns.Infectious disease specialists may also be involved.
- Certain conditions originating in the perinatal period (P00-P96)
- Certain conditions originating in the perinatal period (P00-P96)Infections specific to the perinatal period (P35-P39)
In simple words: Neonatal listeriosis is a serious infection babies can get from their mothers around the time of birth.It's caused by bacteria called Listeria. The infection can spread through the baby's body and cause problems in several organs. The baby may have blood infections, lung issues, or problems with their brain and spinal cord. Sometimes, it can also cause a rash.
Neonatal (disseminated) listeriosis is a severe infection caused by the bacterium Listeria monocytogenes. It is typically transmitted from mother to newborn before or during birth.The infection spreads throughout the newborn's body, affecting multiple organ systems. It can present as sepsis, pneumonia, meningitis and granulomatosis infantisepticum (a disseminated form of the disease characterized by skin lesions).
Example 1: A premature infant born at 30 weeks gestation develops respiratory distress, lethargy, and poor feeding shortly after birth. Blood cultures are positive for Listeria monocytogenes, confirming the diagnosis of neonatal listeriosis., A full-term infant born to a mother with a history of flu-like symptoms during pregnancy presents with seizures and a bulging fontanelle (soft spot on the head) at two weeks of age.Cerebrospinal fluid analysis reveals Listeria monocytogenes, indicating late-onset neonatal listeriosis with meningitis., A newborn develops a diffuse rash with small, raised bumps shortly after birth. The baby also exhibits signs of sepsis. Cultures confirm the presence of Listeria monocytogenes, and the diagnosis is granulomatosis infantisepticum, a disseminated form of neonatal listeriosis.
Documentation for P37.2 should include details of the mother's pregnancy history, including any signs of infection, results of cultures (blood, amniotic fluid, placenta) taken from both mother and newborn, clinical presentation of the infant, laboratory findings (blood cultures, cerebrospinal fluid analysis if meningitis is suspected), and imaging findings (e.g., chest X-ray for pneumonia). Documentation of the infant's response to treatment is also crucial.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Infectious Disease
- Place of Service:Inpatient Hospital, Birthing Center