AHA Coding Clinic® for ICD-9 - 2004 Issue 1; Ask the Editor
Newborn Macrosomia and Diabetic Mother
Coding Clinic Third Quarter 1991, page 5, states that code 775.0, Syndrome of infant of a diabetic mother, should be assigned when the newborn infant of a diabetic or gestational diabetic mother manifests features of this condition (e.g., macrosomia, decrease in blood sugar, or other conditions). However, we have been instructed that the documentation should specifically state, “macrosomia due to infant of a diabetic mother syndrome†and the baby must have multiple symptoms in order for the diagnosis to be accurate. Does the physician have to state that the macrosomia is “due to†the syndrome, or is the fact that the infant has some manifestation of the syndrome sufficient to assign code 775.0? ...
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Article Overview
This short Coding Clinic discussion addresses a documentation question involving newborns with possible manifestations associated with maternal diabetes, including macrosomia and related findings. It is relevant to inpatient coders, CDI staff, and clinicians who document newborn diagnoses because it clarifies the scope of the coding question and the type of guidance being discussed.
Why This Topic Matters
Accurate newborn diagnosis coding depends on how the physician documents the relationship between maternal diabetes and the infant’s condition. This article helps readers understand the documentation issue being raised and the coding reference being discussed.
What You Will Learn
- The documentation issue raised for newborns of diabetic or gestational diabetic mothers
- How the article frames the relationship between maternal diabetes and newborn manifestations
- Why the discussion centers on Coding Clinic guidance for newborn diagnosis assignment
- What type of clinical documentation question the coder is asking
Who Should Read This
- Inpatient medical coders
- Clinical documentation integrity specialists
- Newborn nursery staff
- Pediatric and obstetric clinicians
Codes Discussed
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