P58.4
Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
Clinical Classification Guidelines
Use Additional Code
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Code First
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Medical Intelligence & Overview
Neonatal jaundice due to drugs or toxins transmitted from mother or given to the newborn (ICD-10 code P58.4) is a condition characterized by yellowing of a newborn's skin and eyes caused by the buildup of bilirubin. This form of jaundice occurs when substances such as medications or toxins pass from the mother to the baby during pregnancy or labor, or when they are administered directly to the newborn. Recognizing the causes and symptoms of this condition is vital for healthcare providers to ensure prompt and effective management.
Causes & Symptoms
Clinical Causes: Maternal use of certain medications during pregnancy that cross the placenta Administration of potentially harmful drugs to the newborn after birth Exposure to toxins transmitted through the placenta or during labor Metabolic or genetic factors that lead to impaired processing of bilirubin in the liver Inadequate liver function or enzyme deficiencies in the newborn due to drugs or toxins
Key Symptoms: Yellowing of the skin and sclera (whites of the eyes) Poor feeding or refusal to feed Lethargy or decreased activity levels Breastfeeding difficulties Possible signs of kernicterus in severe cases, such as seizures or abnormal muscle tone
Diagnostic & Treatment
Diagnosis Path: The diagnosis involves a combination of clinical evaluation and laboratory testing, including:
Treatment Protocols: Treatment strategies aim to safely reduce bilirubin levels and address the underlying cause, including:
Clinical Advice & FAQs
Billing Guidance
Is P58.4 a billable ICD-10 code?
Yes, P58.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report P58.4?
Clinical documentation must specify the nature of Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn and any associated comorbidities for accurate reporting.
Cite this Clinical Reference