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2025 ICD-10-CM code P92.0

Vomiting in a newborn infant (within the first 28 days of life).

This code should only be applied to newborns within 28 days of life.Accurate documentation supporting the diagnosis is critical for proper reimbursement.

Medical necessity for coding P92.0 is established when the newborn presents with vomiting, requiring medical evaluation, observation, or intervention due to the potential for dehydration, weight loss, or underlying medical issues.The physician's clinical judgment is crucial in determining the medical necessity for this code.

The clinical responsibility for coding P92.0 rests with the physician or healthcare provider directly involved in the newborn's care.Accurate documentation is crucial to support the code's use, including details on the nature and frequency of vomiting, any associated symptoms, and any interventions provided.

IMPORTANT:Related codes within the P92 range include other feeding problems such as regurgitation, rumination, slow feeding, underfeeding, overfeeding, and difficulty breastfeeding.Codes outside this range, such as R11.1 (vomiting in individuals older than 28 days), should be used appropriately for older infants and children.

In simple words: This code describes vomiting in a baby during the first month of life.It's used to track feeding issues in newborns.

This code is used to classify vomiting in a newborn infant, specifically within the first 28 days after birth.It is categorized under "Certain conditions originating in the perinatal period" and further specified as a "Feeding problem of the newborn."This code should only be used for newborn records and not for maternal records.It excludes conditions such as congenital malformations, chromosomal abnormalities, endocrine disorders, metabolic diseases, injuries, poisoning, neoplasms, and tetanus neonatorum.

Example 1: A newborn infant exhibits forceful vomiting after each feeding, leading to dehydration and weight loss.The physician diagnoses the infant with P92.0 and initiates treatment for dehydration and investigates possible underlying causes., A mother reports her newborn is spitting up frequently after feedings, but the baby is gaining weight appropriately.The physician assesses the infant and may choose not to code P92.0 if the spitting up isn't excessive or associated with other symptoms., A premature infant experiences episodes of bilious vomiting.The physician orders investigations to rule out intestinal obstruction and other serious conditions before applying the appropriate code.

Detailed documentation is required to support the use of P92.0.This should include the frequency and nature of the vomiting (e.g., projectile, non-projectile, bilious), the infant's age, weight, feeding pattern (breastfeeding vs. formula), hydration status, and any interventions provided (e.g., medication, intravenous fluids).Complete neonatal history and physical examination findings are also necessary.

** The severity of the vomiting should be considered when coding.Mild, infrequent spitting up may not warrant this code, whereas persistent or forceful vomiting may require further investigation and would support the use of this code.

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