2025 ICD-10-CM code P96.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal Conditions - Other disorders originating in the perinatal period Chapter 17: Certain conditions originating in the perinatal period Feed
Congenital renal failure in a newborn.
Medical necessity for this code is established by the presence of congenital renal failure, requiring medical management to maintain fluid and electrolyte balance and address potential complications associated with renal failure in neonates.
Neonatal nephrologist or pediatrician.
In simple words: This code means the baby was born with kidneys that don't work correctly.The baby's kidneys can't filter waste from their blood properly.
P96.0, Congenital renal failure, is an ICD-10-CM code that classifies renal failure present at birth.This indicates that the newborn's kidneys are not functioning properly from the time of birth, resulting in the inability to adequately filter waste products from the blood. This can manifest in various ways, ranging from mild to severe, depending on the extent of kidney dysfunction.
Example 1: A newborn exhibits symptoms of renal failure, including poor urine output, edema, and electrolyte imbalances. The diagnosis of congenital renal failure is confirmed through various tests such as ultrasound, blood tests, and urine analysis., A newborn with a family history of kidney disease presents with signs of renal failure. Genetic testing reveals a specific genetic mutation linked to congenital renal failure. Further investigation reveals the extent of kidney damage and guides treatment decisions., A newborn with congenital renal failure requires dialysis treatment to support kidney function.The severity of kidney dysfunction and the response to treatment will guide decisions on the type of dialysis therapy (e.g., peritoneal dialysis or hemodialysis).
* Detailed prenatal history, including any indications of fetal renal abnormalities detected during ultrasound or other prenatal testing.* Detailed neonatal history encompassing the clinical presentation of renal failure (e.g., oliguria, anuria, edema, electrolyte abnormalities).* Results of diagnostic testing including blood urea nitrogen (BUN), creatinine, electrolytes, urine analysis, renal ultrasound, and potentially genetic testing.* Documentation of the treatment plan and the response to treatment.
** The severity of congenital renal failure can vary significantly.Some newborns may require aggressive medical intervention, including dialysis and kidney transplantation, while others may have a milder form that can be managed with conservative therapies.Careful monitoring and ongoing medical care are crucial for managing this condition.
- Payment Status: Active
- Specialties:Neonatology, Nephrology, Pediatrics
- Place of Service:Inpatient Hospital, Neonatal Intensive Care Unit (NICU)