2025 ICD-10-CM code P92
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Other disorders originating in the perinatal period (P90-P96) Certain conditions originating in the perinatal period (P00-P96) Feed
Feeding problems of newborn.
Medical necessity for coding P92 is established when a newborn demonstrates persistent feeding difficulties impacting their weight gain, overall health, or hydration.Documentation must clearly show that the feeding issues require medical intervention or monitoring.The physician's clinical judgment is essential for determining the need for intervention.
The clinical responsibility for diagnosing and managing feeding problems in newborns falls upon pediatricians or neonatologists. This may involve consultations with other specialists depending on the underlying cause (e.g., gastroenterologist if gastrointestinal issues are suspected).
In simple words: This code describes problems a baby has with eating in the first 28 days of life. This could include vomiting, spitting up, slow eating, or trouble breastfeeding.
This code encompasses various difficulties newborns experience with feeding, excluding eating disorders present in older children and infants over 28 days old.Specific examples include vomiting, regurgitation, rumination, slow feeding, underfeeding, overfeeding, and difficulty breastfeeding. The code is used exclusively for newborns (within the first 28 days of life).
Example 1: A 5-day-old infant presents with forceful vomiting after each feeding.The infant is lethargic and has lost weight.The physician orders further investigations to rule out gastroesophageal reflux, pyloric stenosis, or other underlying conditions. P92 is used, with further specification as needed based on test results., A 2-week-old baby exhibits difficulty latching during breastfeeding.The mother reports the baby feeds for short periods, frequently falling asleep at the breast. The pediatrician assesses the baby’s weight and breastfeeding technique, advising on positioning and latch techniques. P92.5 (Neonatal difficulty in feeding at breast) may be used., A 10-day-old infant is noted to have poor weight gain and slow feeding behavior.The baby is otherwise healthy. The physician determines the baby is simply a slow feeder. In this case, a P92.2 (Slow feeding of newborn) might be more appropriate. A detailed explanation is warranted in the documentation.
Detailed documentation should include:the infant's age, weight, feeding history (frequency, amount, type of feed), symptoms (vomiting, regurgitation, lethargy, weight loss), physical examination findings, diagnostic tests performed (if any) and their results, and the physician's assessment and plan of care.The documentation should clearly support the choice of P92 or a more specific subcode.
** P92 is a broad code encompassing various feeding problems. The choice of a specific subcode under P92 is crucial for accurate billing and reflects the precision of clinical evaluation. If the problem persists beyond 28 days of life, alternative codes from the R-chapter should be considered. Always review the specific subcodes within P92 to select the most appropriate code for the presented clinical scenario.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office