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2025 ICD-10-CM code P92.5

This code describes a newborn's difficulty feeding at the breast.

This code should only be used for newborns within the first 28 days of life.It should not be used on maternal records.If the infant's feeding difficulties persist beyond 28 days, consider codes from the R63.3- series.

Medical necessity for this code is established when the infant demonstrates a clinically significant difficulty in feeding at the breast that affects their nutritional intake or overall well-being.The documentation should clearly link the feeding problem to a medical condition and justify the need for intervention.

The responsibility for diagnosing and managing this condition falls under the purview of pediatricians or neonatologists.They assess the infant's feeding behavior, identify the underlying cause of the difficulty, and recommend appropriate interventions. This might involve lactation consultant support, adjustments to breastfeeding positions, or alternative feeding methods if necessary.

In simple words: This code indicates that a newborn baby is having trouble breastfeeding.

Neonatal difficulty in feeding at breast. This condition is specific to newborns and indicates challenges encountered while breastfeeding.

Example 1: A 3-day-old newborn presents with difficulty latching onto the breast and inefficient suckling, leading to inadequate milk intake., A 10-day-old infant displays signs of frustration and pulls away from the breast during feeding attempts, despite the mother having ample milk supply., A newborn, one week postpartum, experiences frequent spitting up and poor weight gain due to ineffective breastfeeding technique.

Documentation should include details about the observed feeding difficulties, such as problems with latching, suckling, swallowing, or maternal milk supply. The infant's weight gain pattern and any associated symptoms, like fussiness or spitting up, should also be noted.Mention any interventions tried, like lactation consultant support, and their effectiveness.

** This code excludes feeding problems that stem from congenital anomalies or other underlying medical conditions.It is essential to distinguish between difficulties specifically related to breastfeeding and those caused by other factors.P92.5 is a billable/specific ICD-10-CM diagnosis code that can be used to indicate a diagnosis for reimbursement purposes.

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