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2025 ICD-10-CM code P83.2

Hydrops fetalis not due to hemolytic disease.

This code is applicable only to newborns (up to 28 days of life).Ensure accurate documentation supporting the diagnosis and excluding other conditions (such as hemolytic disease).

Medical necessity for coding P83.2 is established by the presence of clinical findings consistent with hydrops fetalis (generalized fluid accumulation) in the absence of hemolytic disease. This requires comprehensive clinical evaluation and appropriate diagnostic testing to rule out other causes.Documentation must support the diagnosis.

The clinical responsibility for diagnosing and managing hydrops fetalis not due to hemolytic disease typically falls on neonatologists and pediatricians.Obstetricians may also be involved in prenatal detection and management.

IMPORTANT:Excludes1: 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). Excludes2: cradle cap (L21.0); diaper [napkin] dermatitis (L22).

In simple words: This code describes a condition in newborns where there's too much fluid in different parts of the body, but it's not caused by a problem with the blood.

Hydrops fetalis, a condition characterized by generalized fluid accumulation in the fetus or newborn, not caused by hemolytic disease.This involves excessive fluid buildup in various body cavities and tissues. The diagnosis excludes hydrops fetalis resulting from hemolytic disease.

Example 1: A newborn presents with generalized edema, ascites, and pleural effusion.Hemolytic disease is ruled out through laboratory testing.The diagnosis of hydrops fetalis not due to hemolytic disease is made, and supportive care is provided., Prenatal ultrasound reveals significant fluid accumulation in a fetus.Further investigations rule out hemolytic disease. The diagnosis of hydrops fetalis not due to hemolytic disease is made before birth.The pregnancy is managed closely to monitor fetal well-being., An infant is born prematurely with significant edema. Hemolytic disease is excluded, and additional workup reveals cardiac anomalies as the underlying cause of the hydrops.Both the cardiac condition and the hydrops fetalis (not due to hemolytic disease) are coded and documented.

Complete prenatal history (including ultrasound findings, if any); detailed physical examination documenting edema, ascites, pleural effusion, and other signs of fluid accumulation; laboratory results excluding hemolytic disease; any additional investigations performed (e.g., echocardiogram, genetic testing) to determine the underlying cause; and treatment plan.

** This code is used for cases of hydrops fetalis where the cause is not related to blood incompatibility between the mother and the baby.

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