P02.3 Newborn affected by placental transfusion syndromes

ICD10CM code

#### Name of the Condition
- Newborn affected by placental transfusion syndromes
- Also known as: Twin-to-twin transfusion syndrome (TTTS), Twin anemia-polycythemia sequence (TAPS)

#### Summary
- Newborn affected by placental transfusion syndromes refers to conditions where there is an abnormal blood transfer between twins sharing the placenta, potentially affecting their health.

#### Causes
- The condition arises from an imbalance in the blood flow between fetuses sharing a single placenta due to shared placental vessels.

#### Risk Factors
- Twin or multiple pregnancies, especially those sharing a single placenta (monochorionic twins).
- Advanced maternal age.

#### Symptoms
- Babies may present with anemia or polycythemia (excess red blood cells), noticeable size difference between twins, or heart complications.

#### Diagnosis
- Prenatal ultrasound to monitor blood flow between the twins.
- Doppler studies to evaluate blood vessel connections.

#### Treatment Options
- Fetoscopic laser surgery to seal off connecting blood vessels between the twins.
- Amniocentesis for fluid balance management.
- Blood transfusions for anemia or blood dilution for polycythemia.

#### Prognosis and Follow-Up
- Prognosis varies; improved with early diagnosis and intervention.
- Requires regular follow-up with pediatricians and specialists to monitor development.

#### Complications
- Without treatment, can lead to heart failure, neurological damage, or stillbirth.
- Long-term developmental challenges due to oxygen supply issues during pregnancy.

#### Lifestyle & Prevention
- No definitive preventive measures due to its occurrence in utero.
- Regular prenatal check-ups for early detection in high-risk pregnancies.

#### When to Seek Professional Help
- Expectant parents with twin or multiple pregnancies should seek immediate medical evaluation if advised of uneven growth or fluid levels in twins during ultrasounds.

#### Additional Resources
- Fetal Health Foundation: [www.fetalhealthfoundation.org](https://www.fetalhealthfoundation.org)
- Twin to Twin Transfusion Syndrome Foundation: [www.tttsfoundation.org](https://www.tttsfoundation.org)

#### Tips for Medical Coders
- Ensure accurate documentation of the type of transfusion syndrome to apply correct coding.
- Be vigilant about capturing the condition's impact on each newborn if twins/multiples are involved.
- Avoid common errors like misclassifying other fetal conditions or non-transfusion-related complications.

Similar Codes