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2025 ICD-10-CM code P92.8

This ICD-10-CM code classifies various feeding difficulties experienced by newborns (within the first 28 days of life) that don't fit into more specific categories.

The code should be applied only to newborns within the first 28 days of life.Accurate documentation is vital to distinguish P92.8 from other feeding-related codes that have more specific underlying causes.

Medical necessity for evaluation and management of P92.8 is established by the presence of significant feeding difficulties impairing the newborn's ability to obtain adequate nutrition, leading to potential weight loss, dehydration, or other complications. The complexity of the feeding problem and the need for interventions will determine the medical necessity of further diagnostic testing or treatment.

The clinical responsibility for diagnosing and managing P92.8 rests with pediatricians, neonatologists, or other healthcare professionals caring for newborns. A comprehensive assessment is crucial to identify the underlying cause of the feeding problem, which may necessitate referral to specialists (e.g., gastroenterologists) if organic causes are suspected.

IMPORTANT:This code should be used when the newborn's feeding difficulties cannot be categorized under more specific codes within the P92 range (e.g., P92.0 Vomiting of newborn, P92.1 Regurgitation and rumination of newborn, P92.2 Slow feeding of newborn, etc.). Consider also codes from other chapters if the feeding problems are secondary to other conditions.

In simple words: This code describes problems a baby has with feeding in the first month of life.It covers various feeding issues that aren't described by more specific codes, such as trouble sucking, swallowing, or coordinating feeding.

ICD-10-CM code P92.8, "Other feeding problems of newborn," encompasses a range of feeding challenges in newborns that are not otherwise specified.This includes difficulties such as inefficient sucking, poor coordination of sucking, swallowing, and breathing, or other unspecified feeding problems not attributable to organic causes.It's crucial to differentiate this code from other related codes such as those specifying specific types of vomiting, regurgitation, or failure to thrive. The code is exclusively for use in newborn records (up to 28 days of age).

Example 1: A newborn exhibits difficulty latching onto the breast, resulting in insufficient milk intake and weight loss. The diagnosis is P92.8 because the problem is not solely attributable to anatomical abnormalities or other clearly defined conditions., A premature infant displays poor sucking and swallowing coordination, leading to frequent choking and aspiration during feedings.This is coded as P92.8, as the coordination issue doesn't fully explain the problem, and there are no signs of underlying organic conditions., A full-term newborn is diagnosed with gastroesophageal reflux (GER), but the feeding difficulties are beyond the typical GER symptoms, which would not warrant a GER-specific code. In such cases, P92.8 might be used as a secondary code to capture the severity of feeding disruption.

Documentation should include a detailed history of the newborn's feeding pattern, including feeding frequency, amount, type of feeding (breast, bottle), and any observed difficulties (e.g., choking, coughing, spitting up, vomiting). Weight charts, growth curves, and assessments for any signs of dehydration, nutritional deficiencies, or organic causes are crucial.Specific observations on the infant's sucking, swallowing, and breathing should be documented.

** Always ensure that the diagnosis aligns with the clinical presentation and documented findings.If the underlying cause is identified, additional codes should be used to capture the primary diagnosis.

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