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2025 ICD-10-CM code P78.0

Perinatal intestinal perforation. This code is specific to newborns and describes a perforation (hole or tear) in the intestines that occurs during the perinatal period (before birth through the first 28 days after birth).

This code should be used only for newborns, never on maternal records. It is important to distinguish perinatal intestinal perforation from congenital anomalies of the intestines.

Medical necessity for using P78.0 is established when a newborn presents with clinical and/or radiological evidence of an intestinal perforation occurring within the perinatal period.

Diagnosing and managing the intestinal perforation. This may involve ordering imaging studies like X-rays or ultrasounds, stabilizing the newborn's condition, and performing surgery to repair the perforation and clean the abdominal cavity.

In simple words: A hole in the newborn baby's intestines, often occurring before or shortly after birth. This can cause serious complications due to the baby's first stool leaking into the abdomen.

Perinatal intestinal perforation, also known as meconium peritonitis.This condition occurs when a hole develops in the newborn's intestines, often before birth or shortly after. Meconium, the baby's first stool, can leak into the abdominal cavity, causing inflammation (peritonitis).

Example 1: A newborn presents with abdominal distension and signs of infection shortly after birth. Imaging reveals a perforation in the small intestine and meconium peritonitis., Prenatal ultrasound detects a dilated bowel in a fetus, raising suspicion for intestinal obstruction. After birth, the newborn is diagnosed with an intestinal perforation., A newborn undergoes surgery for necrotizing enterocolitis (NEC), a condition where a portion of the bowel dies.A perforation develops at the surgical site post-operatively.

Medical record documentation should include details about the timing and circumstances of the perforation, imaging findings, surgical reports (if surgery is performed), and any associated complications.

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