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  6. 2025 ICD-10-CM Code P74

2025 ICD-10-CM Diagnosis Code P74

Other transitory neonatal electrolyte and metabolic disturbances

ICD-10-CM Code:
P74
ICD-10 Code for:
Oth transitory neonatal electrolyte and metabolic disturb
Is Billable?
Not Valid for Submission
Code Navigator:

P74 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other transitory neonatal electrolyte and metabolic disturbances. The code is not specific and is NOT valid for the year 2025 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Oth transitory neonatal electrolyte and metabolic disturb

Non-specific codes like P74 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for oth transitory neonatal electrolyte and metabolic disturb:

  • Use P74.0 for Late metabolic acidosis of newborn - BILLABLE CODE

  • Use P74.1 for Dehydration of newborn - BILLABLE CODE

  • P74.2 for Disturbances of sodium balance of newborn - NON-BILLABLE CODE

  • Use P74.21 for Hypernatremia of newborn - BILLABLE CODE

  • Use P74.22 for Hyponatremia of newborn - BILLABLE CODE

  • P74.3 for Disturbances of potassium balance of newborn - NON-BILLABLE CODE

  • Use P74.31 for Hyperkalemia of newborn - BILLABLE CODE

  • Use P74.32 for Hypokalemia of newborn - BILLABLE CODE

  • P74.4 for Other transitory electrolyte disturbances of newborn - NON-BILLABLE CODE

  • Use P74.41 for Alkalosis of newborn - BILLABLE CODE

  • P74.42 for Disturbances of chlorine balance of newborn - NON-BILLABLE CODE

  • Use P74.49 for Other transitory electrolyte disturbance of newborn - BILLABLE CODE

  • Use P74.5 for Transitory tyrosinemia of newborn - BILLABLE CODE

  • Use P74.6 for Transitory hyperammonemia of newborn - BILLABLE CODE

  • Use P74.8 for Other transitory metabolic disturbances of newborn - BILLABLE CODE

  • Use P74.9 for Transitory metabolic disturbance of newborn, unspecified - BILLABLE CODE

Code Classification

  • Certain conditions originating in the perinatal period
    P00–P96
    • Transitory endocrine and metabolic disorders specific to newborn
      P70-P74
      • Other transitory neonatal electrolyte and metabolic disturbances
        P74

Patient Education


Fluid and Electrolyte Balance

What are electrolytes?

Electrolytes are minerals that have an electric charge when they are dissolved in water or body fluids, including blood. The electric charge can be positive or negative. You have electrolytes in your blood, urine (pee), tissues, and other body fluids.

Electrolytes are important because they help:

  • Balance the amount of water in your body
  • Balance your body's acid/base (pH) level
  • Move nutrients into your cells
  • Move wastes out of your cells
  • Support your muscle and nerve function
  • Keep your heart rate and rhythm steady
  • Keep your blood pressure stable
  • Keep your bones and teeth healthy

What are the different types of electrolytes in your body?

The main electrolytes in your body include:

  • Bicarbonate, which helps maintain the body's acid and base balance (pH). It also plays an important role in moving carbon dioxide through the bloodstream.
  • Calcium, which helps make and keep bones and teeth strong.
  • Chloride, which also helps control the amount of fluid in the body. In addition, it helps maintain healthy blood volume and blood pressure.
  • Magnesium, which helps your muscles, nerves, and heart work properly. It also helps control blood pressure and blood glucose (blood sugar).
  • Phosphate, which works together with calcium to build strong bones and teeth.
  • Potassium, which helps your cells, heart, and muscles work properly.
  • Sodium, which helps control the amount of fluid in the body. It also helps your nerves and muscles work properly.

You get these electrolytes from the foods you eat and the fluids you drink.

What is an electrolyte imbalance?

An electrolyte imbalance means that the level of one or more electrolytes in your body is too low or too high. It can happen when the amount of water in your body changes. The amount of water that you take in should equal the amount you lose. If something upsets this balance, you may have too little water (dehydration) or too much water (overhydration). Some of the more common reasons why you might have an imbalance of the water in your body include:

  • Certain medicines
  • Severe vomiting and/or diarrhea
  • Heavy sweating
  • Heart, liver or kidney problems
  • Not drinking enough fluids, especially when doing intense exercise or when the weather is very hot
  • Drinking too much water

What are the different types of electrolyte imbalances?

The names of the different types of electrolyte imbalances are:

Electrolyte Too low Too high
Bicarbonate Acidosis Alkalosis
Calcium Hypocalcemia Hypercalcemia
Chloride Hypochloremia Hyperchloremia
Magnesium Hypomagnesemia Hypermagnesemia
Phosphate Hypophosphatemia Hyperphosphatemia
Potassium Hypokalemia Hyperkalemia
Sodium Hyponatremia Hypernatremia

How are electrolyte imbalances diagnosed?

A test called an electrolyte panel can check the levels of your body's main electrolytes. A related test, the anion gap blood test, checks whether your electrolytes are out of balance or if your blood is too acidic or not acidic enough.

What are the treatments for electrolyte imbalances?

The treatment for an electrolyte imbalance depends on which electrolytes are out of balance, if there is too little or too many, and what is causing the imbalance. In minor cases, you may just need to make some changes to your diet. In other cases, you may need other treatments. For example:

  • If you don't have enough of an electrolyte, you may get electrolyte replacement therapy. This involves giving you more of that electrolyte. It could be a medicine or supplement that you swallow or drink, or it may be given intravenously (by IV).
  • If you have too much of an electrolyte, your provider may give you medicines or fluids (by mouth or by IV) to help remove that electrolyte from your body. In severe cases, you may need dialysis to filter out the electrolyte.

[Learn More in MedlinePlus]

Metabolic Disorders

Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.

A metabolic disorder occurs when abnormal chemical reactions in your body disrupt this process. When this happens, you might have too much of some substances or too little of other ones that you need to stay healthy. There are different groups of disorders. Some affect the breakdown of amino acids, carbohydrates, or lipids. Another group, mitochondrial diseases, affects the parts of the cells that produce the energy.

You can develop a metabolic disorder when some organs, such as your liver or pancreas, become diseased or do not function normally. Diabetes is an example.


[Learn More in MedlinePlus]

Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.