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2025 ICD-10-CM code P09.3

Abnormal findings on neonatal screening for congenital hematologic disorders.

This code is to be used only on the newborn's medical record, not the mother's record.

The medical necessity for this code is established by the presence of abnormal findings on the mandated newborn screening tests, which require further investigation to determine the specific diagnosis and appropriate management.

The responsibility for using this code falls on the physician ordering and reviewing the newborn screening tests.

In simple words: This code indicates that a newborn baby's initial blood test showed something unusual related to their blood.

Abnormal findings on neonatal screening for congenital hematologic disorders. This includes abnormal findings for hemoglobinopathy screening, abnormal findings on red cell membrane defects screen, and abnormal findings on sickle cell screen.

Example 1: A newborn's screening test reveals an unusually low level of hemoglobin, suggesting a possible hemoglobinopathy. Further testing is required to confirm the diagnosis., A newborn's blood sample shows signs of red cell membrane defects upon initial screening, necessitating additional hematological evaluation., A sickle cell screening test on a newborn comes back positive, prompting further investigation and genetic counseling for the family.

Documentation should include the specific abnormal findings on the newborn screening report, as well as any follow-up testing and specialist referrals made.

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