In simple words: This code is for bleeding from the umbilical cord stump in a baby after birth. It does not include bleeding caused by an infection in the umbilical area (omphalitis) or from the cut end of a co-twin's cord.

This code, P51, signifies umbilical hemorrhage in a newborn.It specifically refers to bleeding from the umbilical cord stump after birth.This excludes umbilical hemorrhage resulting from a severed co-twin's umbilical cord or omphalitis with mild hemorrhage.

Example 1: A newborn is noted to have persistent oozing from the umbilical cord stump at 2 days postpartum.The bleeding is controlled with gentle pressure and topical hemostatic agents.No other abnormalities are present., A full-term neonate presents to the emergency department with a significant umbilical hemorrhage requiring blood transfusion.A coagulation profile is obtained. , A preterm infant has persistent umbilical oozing despite topical treatment.Further investigation, including evaluation for a clotting disorder, is pursued.

Detailed obstetric history, newborn examination including description of the umbilical cord and the extent of the hemorrhage, any intervention taken to control bleeding (e.g., pressure, cauterization, surgical intervention), and lab results (if obtained, e.g., complete blood count, coagulation studies).