AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; New/Revised ICD-10-CM Codes

Neonatal Metabolic Disturbances

Neonatal metabolic disturbances are transitory conditions that occur during birth or shortly thereafter. New codes were created to identify metabolic disturbances in the major serum electrolytes (sodium, potassium, chloride and bicarbonate) that are specific to the newborn. These new codes also differentiate hyper- and hyponatremia, and hyper- and hypokalemia. These conditions have different etiologies, consequences, and treatment with potential for a different level of urgency. Fluid management is an important component of treatment and varies greatly between these conditions. Medications may also be given depending on which condition is present. Newborns may experience both hyper- and hyponatremia or hyper-...

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