P09.6 Abnormal findings on neonatal screening for neonatal hearing loss

ICD10CM code

#### Name of the Condition
- Abnormal Findings on Neonatal Screening for Neonatal Hearing Loss
- ICD Code: P09.6

#### Summary
Abnormal findings on neonatal screening for neonatal hearing loss refer to unusual results discovered during routine tests conducted shortly after birth to detect hearing impairments in newborns. Early detection is crucial to address potential hearing issues and their impact on speech and language development.

#### Causes
- Genetic factors leading to congenital hearing loss.
- Infections during pregnancy, such as cytomegalovirus or rubella.
- Premature birth or low birth weight.

#### Risk Factors
- Family history of hearing loss.
- Complications during pregnancy or delivery.
- Neonatal infections or intensive care treatments, such as those involving ventilation or ototoxic medications.

#### Symptoms
- Lack of response to noises or voices.
- Absence of startle reflex to loud sounds.
- Delay in vocalization and babbling.

#### Diagnosis
- Automated Auditory Brainstem Response (AABR) test.
- Otoacoustic Emissions (OAE) test.
- Follow-up testing if initial screenings indicate potential hearing loss.

#### Treatment Options
- Hearing aids for amplification.
- Cochlear implants for severe cases.
- Speech therapy and auditory training to support language development.
- Early intervention programs to aid in communication skills.

#### Prognosis and Follow-Up
- Early intervention can significantly improve outcomes for children with hearing loss.
- Regular audiological assessments and participation in intervention programs are essential.

#### Complications
- Delayed speech and language development.
- Academic challenges.
- Social isolation and communication difficulties if untreated.

#### Lifestyle & Prevention
- Prenatal care to identify and manage risk factors.
- Avoiding exposure to ototoxic substances during pregnancy.
- Education on the importance of early hearing tests.

#### When to Seek Professional Help
- Concerns about a newborn's hearing, especially if the child does not react to sound.
- Any parental concern regarding delays in speech or auditory response.

#### Additional Resources
- American Speech-Language-Hearing Association (ASHA): [asha.org](https://www.asha.org)
- National Institute on Deafness and Other Communication Disorders (NIDCD): [niddk.nih.gov](https://www.nidcd.nih.gov)

#### Tips for Medical Coders
- When coding, ensure that the screening result is specifically attributed to neonatal hearing to correctly assign ICD code P09.6.
- Double-check for any notes or distinguishing details in the medical record indicating the result of abnormal findings.

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