Severe birth asphyxia

This code signifies a critical condition in a newborn characterized by profound impairment of gas exchange at birth, leading to hypoxemia, hypercapnia, and acidosis. It indicates a severe lack of oxygen and blood flow to the brain and other vital organs around the time of delivery. This can result in significant neurological damage and multi-organ dysfunction.

Use this code when documentation clearly indicates severe birth asphyxia, often evidenced by Apgar scores of 0-3 at 5 minutes, persistent acidosis (e.g., umbilical artery pH < 7.00), and clinical signs of neurological depression (e.g., hypotonia, seizures, coma). This code is appropriate for newborns who experienced significant oxygen deprivation during the peripartum period.

• Always review the neonate's Apgar scores, umbilical cord blood gas results, and neurological assessment findings to support the severity.
• Distinguish from mild or moderate birth asphyxia; this code is reserved for the most severe presentations.
• Consider sequencing this code as the principal diagnosis when it is the primary reason for admission or the most significant condition affecting the newborn's care.