Meconium plug syndrome

This code describes a temporary intestinal obstruction in a newborn caused by a thick, tenacious meconium plug in the colon. It typically presents as abdominal distension, bilious vomiting, and failure to pass meconium within the first 24-48 hours of life. The condition is usually benign and resolves with conservative management.

Assign this code when documentation confirms a diagnosis of meconium plug syndrome, often after a contrast enema demonstrates the plug and its subsequent evacuation. This diagnosis is typically made in the neonatal period for infants presenting with symptoms of distal bowel obstruction.

• Differentiate from meconium ileus, which is a more severe obstruction often associated with cystic fibrosis.
• Ensure documentation explicitly states "meconium plug" rather than just "meconium obstruction" to avoid confusion with other meconium-related conditions.
• Review for any underlying conditions or associated anomalies that may also require coding.