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2025 ICD-10-CM code P83.0

Sclerema neonatorum is a serious, sometimes fatal, disorder of adipose tissue, occurring mainly in debilitated or premature infants.

Code P83.0 should be used only for newborn records and never on maternal records. The code is applicable even if the condition manifests after the first 28 days of life, as long as the origin is within the perinatal period.It's important to distinguish sclerema neonatorum from other skin conditions, such as subcutaneous fat necrosis of the newborn and congenital malformations of the skin.

Medical necessity for treatment of sclerema neonatorum is established by the presence of characteristic skin changes in a newborn with an underlying medical condition. Treatment is necessary to address the underlying illness, provide supportive care, and potentially improve the infant's prognosis.

Diagnosis and management of sclerema neonatorum involve a multidisciplinary approach, including neonatologists, pediatricians, and dermatologists. Treatment focuses on addressing the underlying condition, providing supportive care (such as maintaining body temperature and fluid balance), and potentially using medications to improve blood flow and reduce inflammation.

In simple words: Sclerema neonatorum is a serious condition in newborns where their skin hardens and becomes discolored, often due to other health problems.

Sclerema neonatorum is a severe, often fatal, disorder of adipose tissue that primarily affects debilitated or premature newborns with underlying diseases. It manifests as diffuse hardening of the affected tissue, causing the skin to become cold, yellowish, mottled, and rigid.

Example 1: A premature infant born at 28 weeks develops respiratory distress syndrome and subsequently exhibits hardening of the skin on the back and extremities, consistent with sclerema neonatorum. , A newborn with a history of hypothermia and sepsis presents with generalized skin induration and a mottled appearance, diagnosed as sclerema neonatorum., A term infant with congenital heart disease develops feeding difficulties and poor perfusion, followed by the appearance of firm, waxy skin changes characteristic of sclerema neonatorum.

Documentation should include the onset and progression of skin changes, associated symptoms (such as hypothermia, feeding difficulties, or respiratory distress), underlying medical conditions, and laboratory findings. Photographs of the affected areas can be helpful.

** Conditions excluded from this code include congenital malformations of skin and integument (Q80-Q84), hydrops fetalis due to hemolytic disease (P56.-), neonatal skin infection (P39.4), staphylococcal scalded skin syndrome (L00), cradle cap (L21.0), and diaper dermatitis (L22).

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