P91.63
Severe hypoxic ischemic encephalopathy [HIE]
Clinical Classification Guidelines
Medical Intelligence & Overview
Severe hypoxic ischemic encephalopathy (HIE) is a serious condition caused by a significant lack of oxygen to the brain around the time of birth. This oxygen deprivation can result in lasting brain damage, affecting a child's development and health. Recognized under the ICD-10 code P91.63, this condition requires careful medical attention and often involves long-term management to address its impacts.
Causes & Symptoms
Clinical Causes: Complications during labor or delivery, such as umbilical cord problems or placental abruption Maternal health issues like severe anemia or infections that reduce oxygen delivery to the fetus Prolonged fetal distress, which can occur due to issues like decreased blood flow or oxygen supply Birth complications, including failed resuscitation or trauma during delivery Premature birth, especially when with complications affecting oxygenation
Key Symptoms: Altered level of consciousness, ranging from lethargy to coma Poor muscle tone and weak reflexes Seizures or abnormal movements Breathing difficulties and irregular heartbeat Low Apgar scores immediately after birth Feeding difficulties and poor suck reflex Swelling in the brain (cerebral edema) signs, such as increased head size
Diagnostic & Treatment
Diagnosis Path: Early diagnosis is crucial to planning appropriate interventions and support strategies for the affected child.
Treatment Protocols: - Long-term rehabilitative services, including physical, occupational, and speech therapy, to support developmental progress
Clinical Advice & FAQs
Billing Guidance
Is P91.63 a billable ICD-10 code?
Yes, P91.63 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report P91.63?
Clinical documentation must specify the nature of Severe hypoxic ischemic encephalopathy [HIE] and any associated comorbidities for accurate reporting.
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