Infections specific to the perinatal period-ICD-10-CM GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. INFECTIONS SPECIFIC TO
THE PERINATAL PERIOD

2. INTRODUCTION
• Infections acquired in utero, during birth via the
umbilicus,or during the first 28 days after birth.
• Infections like viral bacterial and parasitic diseases may
affect the new born baby.

3. OMPHALITIS
• Omphalitis of newborn is the medical term for
inflammation of the umbilical cord stump in
the neonatal newborn period, most commonly attributed
to a bacterial infection.
• Typically immediately after an infant is born, the umbilical
cord is cut with a small remnant (often referred to as the
stump) left behind. Normally the stump separates from
the skin within 3–45 days after birth

4. PATHOPHYSIOLOGY
• A small amount of pus-like material is commonly seen at
the base of the stump and can be controlled by keeping
the stump open to air to dry.
• Certain bacteria can grow and infect the stump during
this process and as a result significant redness and
swelling may develop, and in some cases the infection
can then spread through the umbilical vessels to the rest
of the body

5. NEONATAL INFECTIVE MASTITIS
• Mastitis (also called mammitis)
is inflammation of breast or udder tissue usually due
to infection.
• Two types of mastitis such as:-
• Puerperal mastitis
• Nonpuerperal mastitis

6. NEONATAL PYODERMA
• Pyoderma means any skin disease that is pyogenic(has
pus). These include superficial bacterial infections such
as impetigo, impetigo
contagiosa, ecthyma, folliculitis, Bockhart's
impetigo, furuncle, carbuncle, tropical ulcer, etc.

7. ICD-10-CM GUIDELINES
• P codes are used only for newborn cases
• Any congenital disorders and acquired disorders obtain
with in this perinatal period are reported with “p” codes.
• Chromosomal abnormalities deformations and
congenital malformations are reported using Q codes.

8. • Congenital viral diseases-P35
• Bacterial sepsis of newborn- P36
• Other congenital infectious and parasitic diseases-P37
• Omphalitis of newborn- P38
• Other infections specific to the perinatal period- P39
• https://www.medesunglobal.com

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