Other transitory neonatal electrolyte and metabolic disturbances
In Transitory endocrine and metabolic disorders specific to newborn (P70-P74), chapter 16: Certain Conditions Originating in the Perinatal Period
14 billable codes under P74: 1 is an MCC, 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Also applies, from Transitory endocrine and metabolic disorders specific to newborn (P70-P74)
These notes sit on P70-P74 and apply to every code under it, including P74.
Includes: conditions that are coded here
- transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine environment
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.
- General Perinatal Rules (page 71)
- Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
- Coding Additional Perinatal Diagnoses (page 73)
- Prematurity and Fetal Growth Retardation (page 73)
- Low birth weight and immaturity status (page 74)
- Bacterial Sepsis of Newborn (page 74)
- Stillbirth (page 74)
- COVID-19 Infection in Newborn (page 74)
All codes under P74
P74 can't be used on a claim. Pick a billable code below; grey headings group them.
- P74.0Late metabolic acidosis of newborn
- P74.1Dehydration of newborn
- P74.2Disturbances of sodium balance of newborn
- P74.21Hypernatremia of newborn
- P74.22Hyponatremia of newborn
- P74.3Disturbances of potassium balance of newborn
- P74.31Hyperkalemia of newborn
- P74.32Hypokalemia of newborn
- P74.4Other transitory electrolyte disturbances of newborn
- P74.41Alkalosis of newborn
- P74.42Disturbances of chlorine balance of newborn
- P74.421Hyperchloremia of newborn
- P74.422Hypochloremia of newborn
- P74.49Other transitory electrolyte disturbance of newborn
- P74.5Transitory tyrosinemia of newborn
- P74.6Transitory hyperammonemia of newborn
- P74.8Other transitory metabolic disturbances of newborn
- P74.9Transitory metabolic disturbance of newborn, unspecified
P74 MS-DRGs
As the principal diagnosis, the billable codes under P74 group to MS-DRG 791, 793, or 794 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 791 Prematurity with Major Problems (9 of 14 codes)
- DRG 793 Full Term Neonate with Major Problems (9 of 14 codes)
- DRG 794 Neonate with Other Significant Problems (5 of 14 codes)
Other codes that refer to P74
Notes on these codes point to P74.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Fluid and Electrolyte Balance
Electrolytes are minerals that have an electric charge when they are dissolved in water or body fluids, including blood. The electric charge can be positive or negative. You have electrolytes in your blood, urine (pee), tissues, and other body fluids.
Read more about fluid and electrolyte balance on MedlinePlusMetabolic Disorders
Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.
Read more about metabolic disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.