2025 ICD-10-CM code P74
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Transitory endocrine and metabolic disorders specific to newborn Chapter 16: Certain conditions originating in the perinatal period Feed
Other transitory neonatal electrolyte and metabolic disturbances.
No modifiers are typically applied to this code.
Medical necessity is established by the presence of clinically significant electrolyte or metabolic disturbances affecting the well-being of the newborn, requiring medical intervention and monitoring.
The clinical responsibility for this code lies with the neonatologist or pediatrician managing the newborn's care.They would be responsible for diagnosing and treating the underlying electrolyte and metabolic imbalance.
- Chapter 16: Certain conditions originating in the perinatal period
- P70-P74 (Transitory endocrine and metabolic disorders specific to fetus and newborn)
In simple words: This code describes temporary problems with electrolytes (like sodium and potassium) or metabolism (how the body uses energy) in a newborn baby. These problems usually go away on their own.This code is only used for newborns in the first 28 days of life.
This ICD-10-CM code encompasses other transient electrolyte imbalances and metabolic disruptions unique to newborns, excluding those specifically categorized elsewhere within Chapter 16.These disturbances are often short-lived and related to the infant's adaptation to extrauterine life or maternal factors.The code is for use only on newborn records and should not be used on maternal records. The perinatal period is defined as the time from before birth to 28 days after birth.If the condition persists beyond 28 days, the appropriate code for the ongoing condition should be used, and this code should not be used.
Example 1: A newborn presents with hypocalcemia (low calcium levels) and hypoglycemia (low blood sugar) within the first 24 hours of life.After treatment, these conditions resolve. P74 is used to describe these transient conditions., A newborn exhibits transient hyperbilirubinemia (high bilirubin levels) leading to jaundice, but resolves within a week.If no other specific code applies, P74 can be used. However, more specific codes should be used if available., A preterm infant experiences transient hypomagnesemia (low magnesium levels) shortly after birth due to maternal factors or prematurity-related issues.After appropriate interventions, the magnesium levels stabilize.P74 is appropriately used in this scenario if there are no other specified codes available.
Detailed laboratory results demonstrating the electrolyte and metabolic abnormalities, clinical notes documenting the presence of symptoms, treatment interventions administered, and the resolution of the condition.
** This code should not be used for conditions that are not transient or that persist beyond the perinatal period.Always ensure that the most specific and accurate code is selected.Review of clinical documentation and lab results are crucial for correct code assignment.Consult the official ICD-10-CM coding guidelines for the most up-to-date information.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center