2025 ICD-10-CM code P54
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Hemorrhagic and hematological disorders - Hemorrhagic and hematological disorders of fetus and newborn (P50-P61) Chapter 16: Certain conditions originating in the perinatal period (P00-P96) Feed
Other neonatal hemorrhages.
Medical necessity for this code is determined by the presence of a clinically significant hemorrhage in a newborn requiring medical intervention. The documentation must clearly support the presence of hemorrhage and rule out other more specific diagnoses within the P50-P61 block.
The clinical responsibility for this code would fall on the neonatologist or pediatrician managing the newborn.Thorough physical examination, blood tests (including complete blood count, coagulation studies), and potentially imaging studies (ultrasound, CT scan) might be necessary to identify the cause and guide treatment.
In simple words: This code is for bleeding in a newborn baby that isn't caused by problems in the mother's pregnancy or delivery or other specific conditions.It is used for various types of bleeding that aren't listed elsewhere.
This code classifies other neonatal hemorrhages not elsewhere specified.It excludes newborn affected by (intrauterine) blood loss (P50.-), pulmonary hemorrhage originating in the perinatal period (P26.-), congenital stenosis and stricture of bile ducts (Q44.3), Crigler-Najjar syndrome (E80.5), Dubin-Johnson syndrome (E80.6), Gilbert syndrome (E80.4), and hereditary hemolytic anemias (D55-D58).
Example 1: A newborn infant presents with petechiae and purpura.Investigation reveals a bleeding disorder not specifically classifiable elsewhere in the P50-P61 range. Code P54 is assigned., A full-term neonate develops unexplained bruising and bleeding from the umbilical stump.Coagulation studies are normal.After ruling out other causes, code P54 is used to document the hemorrhage., A premature infant experiences intracranial hemorrhage not attributed to birth trauma or other specified causes.Code P54 is chosen after investigation rules out more specific diagnoses.
Complete documentation should include a detailed history (including maternal history), physical examination findings, laboratory results (complete blood count, coagulation profile, blood type, etc.), and any imaging studies performed (ultrasound, CT scan, MRI).The clinical diagnosis and justification for code assignment must be clearly stated in the medical record.
** This code is for nonspecific neonatal hemorrhage.Always ensure the documentation accurately reflects the clinical picture and rules out more specific causes before using P54.Incorrect coding can lead to denial of claims.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Hematology
- Place of Service:Inpatient Hospital, Newborn Nursery, Outpatient Hospital