2025 ICD-10-CM code P61.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Hemorrhagic and hematological disorders of newborn - Other perinatal hematological disorders Certain conditions originating in the perinatal period (P00-P96) Feed
Congenital anemia resulting from fetal blood loss.
Medical necessity for the diagnosis of P61.3 is established through the clinical presentation (pallor, lethargy, tachycardia), laboratory findings (low hemoglobin, hematocrit, etc.) and identification of a plausible etiology like antepartum hemorrhage or fetomaternal hemorrhage.
The clinical responsibility for diagnosing and managing P61.3 lies with neonatologists, pediatricians, and obstetricians.This includes conducting a thorough physical examination, ordering relevant laboratory tests (complete blood count, reticulocyte count, peripheral blood smear), and potentially initiating blood transfusions if necessary.
In simple words: This code means the baby was born with anemia (low red blood cell count) because of bleeding that happened before or during birth.
This code signifies congenital anemia in a newborn caused by blood loss during the fetal period or perinatal period (from conception to 28 days after birth).It indicates a deficiency of red blood cells or hemoglobin, resulting in reduced oxygen-carrying capacity of the blood. The etiology is linked to hemorrhage occurring before or during the birth process.
Example 1: A newborn presents with pallor, lethargy, and tachycardia.Laboratory tests reveal a low hemoglobin level and hematocrit.A history of antepartum hemorrhage or a difficult delivery is obtained.P61.3 is assigned., A full-term infant is noted to have significant pallor postpartum.Further investigation reveals a low hemoglobin, decreased hematocrit, and microcytic red cells, consistent with chronic blood loss in utero. P61.3 is documented., During a routine newborn exam, a pediatrician notes pallor and low hemoglobin.Further investigations, including imaging studies, identify a small internal hemorrhage that was not detected during delivery.P61.3 is used.
Detailed prenatal history (including any complications during pregnancy, such as bleeding or trauma), labor and delivery records (including any signs of fetal distress or blood loss), complete blood count, reticulocyte count, peripheral blood smear, and any additional imaging studies such as ultrasound.
** Further investigation might be needed to determine the precise cause and extent of the fetal blood loss.This may include additional testing such as blood typing and crossmatching, and potential genetic evaluations depending on clinical suspicion.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Obstetrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center