2017 Icd 10 cm diagnosis code p77 necrotizing enterocolitis of newborn brain anoxia

P78.8 other specified perinatal digestive system disorders

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Necrotizing enterocolitis of newborn 2017 non-billable/non-specific code

This is a fulminating disease of neonates in which there is extensive mucosal ulceration, pseudomembrane formation, submucosal haemorrhage, and necrosis usually of the right colon, caecum, terminal ileum, and appendix (ENTEROCOLITIS), possibly due to perinatal intestinal ischemia and bacterial invasion. The entire colon, small intestine, stomach, and oesophagus may also be affected. Most infants are premature or suffer from respiratory distress syndrome, sepsis, or hypoxia. Symptoms (apparent during the first few weeks of life) include abdominal distension, bilious vomiting, and melaena; there may be apnoea, lethargy, temperature instability, tachycardia, tachypnoea, and a fall in blood pressure.Brain anoxia the disorder may progress to perforation and peritonitis.

P77 is not a billable or specific ICD-10-CM diagnosis code.Codes under this level describe diganosis in detail.

ICD-10-CM codes are used for a variety of purposes, including statistics and for billing and claims reimbursement.

This is the american ICD 10 CM version of P77 allows for the capture of data regarding signs, symptoms, risk factors and comorbidities to better describe the clinical issue overall.

ICD 10 official documentation guidelines for P77

Chapter 16

Conditions originating in the perinatal period

16. Chapter 16: certain conditions originating in the perinatal period (P00-P96)

For coding and reporting purposes the perinatal period is defined as before birth through the 28th day following birth.Brain anoxia the following guidelines are provided for reporting purposes.

A. General perinatal rules

1) use of chapter 16 codes codes in this chapter are never for use on the maternal record. Codes from chapter 15, the obstetric chapter, are never permitted on the newborn record. Chapter 16 codes may be used throughout the life of the patient if the condition is still present.

Chapter 16

Conditions originating in the perinatal period

3) use of codes from other chapters with codes from chapter 16

Codes from other chapters may be used with codes from chapter 16 if the codes from the other chapters provide more specific detail. Codes for signs and symptoms may be assigned when a definitive diagnosis has not been established.Brain anoxia if the reason for the encounter is a perinatal condition, the code from chapter 16 should be sequenced first.

Chapter 16

Codes after the perinatal period

4) use of chapter 16 codes after the perinatal period

Should a condition originate in the perinatal period, and continue throughout the life of the patient, the perinatal code should continue to be used regardless of the patient’s age.

Chapter 16

Birth process or community acquired conditions

5) birth process or community acquired conditions

If a newborn has a condition that may be either due to the birth process or community acquired and the documentation does not indicate which it is, the default is due to the birth process and the code from chapter 16 should be used.Brain anoxia if the condition is community-acquired, a code from chapter 16 should not be assigned.

Chapter 16

Conditions originating in the perinatal period

6) code all clinically significant conditions

All clinically significant conditions noted on routine newborn examination should be coded. A condition is clinically significant if it requires:

– clinical evaluation; or ? Therapeutic treatment; or

– diagnostic procedures; or ? Extended length of hospital stay; or

– increased nursing care and/or monitoring; or

– has implications for future health care needs

SNOMed terms:

• NEC – necrotising enterocolitis • NEC – necrotizing enterocolitis • necrotic enteritis • necrotic enteritis (disorder) • necrotising enterocolitis • necrotising enterocolitis in fetus OR newborn • necrotising enterocolitis in foetus OR newborn • necrotizing enterocolitis • necrotizing enterocolitis in fetus OR newborn • necrotizing enterocolitis in fetus OR newborn (disorder)