Pediatric Coding Alert

Reader Questions:

Heed This Infant Feeding Scenario

Question: A new mother comes in with her 2-month-old because the baby is having trouble nursing. Is this an instance where I can report P92.- ?

New Hampshire Subscriber

Answer: Code P92.- (Feeding problems of newborn) is for newborns, which ICD-10 in Guideline I.C.16 defines as infants younger than 28 days. Because this child is 2 months old, you’ll want to consider the R63.3- codes instead for children in this age group. When reporting feeding difficulties, remember to code to the 5th character, depending on what details the provider included in the documentation. Choose from the following:

  • R63.30 (Feeding difficulties, unspecified)
  • R63.31 (Pediatric feeding disorder, acute)
  • R63.32 (Pediatric feeding disorder, chronic)
  • R63.39 (Other feeding difficulties).

Coding alert: ICD-10 has instructions for R63.31 and R63.32 to code also associated conditions such as J69.0 (Pneumonitis due to inhalation of food and vomit), R13.1- (Dysphagia), K21.- (Gastro-esophageal reflux disease), and malnutrition conditions coded to E40-E46 when appropriate and if applicable.