ICD10BillableValid for clinical use

ICD-10 Code P74.421: Hyperchloremia of newborn

P74.421 is a billable ICD-10 diagnosis code used to classify Hyperchloremia of newborn in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Certain conditions originating in the perinatal period (P00-P96).

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Certain conditions originating in the perinatal period (P00-P96).

When is it used?

  • May be used when a clinician documents hyperchloremia of newborn in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
16Certain conditions originating in the perinatal period (P00-P96)
block
P70-P74Transitory endocrine and metabolic disorders specific to newborn
category
P74Other transitory neonatal electrolyte and metabolic disturbances
category
P74.4Other transitory electrolyte disturbances of newborn
category
P74.42Disturbances of chlorine balance of newborn
currentP74.42

Official coding notes

Inclusion terms
  • Hyperchloremic metabolic acidosis
Excludes2 (may code together if documented)
  • late metabolic acidosis of the newborn (P74.0)

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

PediatricianNeonatologist

Coding guidelines

Common synonyms

Hyperchloremia of newborn

Frequently asked questions

Code details

CodeP74.421
SystemICD10
Display nameHyperchloremia of newborn
ChapterCertain conditions originating in the perinatal period (P00-P96)
BlockTransitory endocrine and metabolic disorders specific to newborn

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Acidosis(lactic)Disturbance(s)Disturbance(s)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code P74.421 for Hyperchloremia of newborn | HealthAssure