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2025 ICD-10-CM code P50.5

Newborn affected by intrauterine (fetal) blood loss from the cut end of a co-twin's umbilical cord.

Codes from this chapter (P00-P96) are strictly for newborns and should never be applied to maternal records.Ensure correct differentiation between P50.5 and other neonatal conditions, such as congenital anemia, using the provided exclusion notes.

Medical necessity for treatment related to this condition is established by clinical findings indicating significant intrauterine blood loss in the affected newborn, requiring medical intervention (e.g., blood transfusion, supportive care). The severity of the anemia warrants appropriate clinical action, ensuring the baby's health and well-being.

Obstetricians, neonatologists, and pediatricians are primarily responsible for the diagnosis and management of this condition.Thorough prenatal and postnatal care, including close monitoring of the newborn's hematologic parameters, is vital.

IMPORTANT:Differentiation from other causes of neonatal anemia (e.g., P61.3, congenital anemia from intrauterine blood loss, not related to co-twin's umbilical cord) is essential for accurate coding.

In simple words: This code describes a baby born with blood loss that happened before birth.The bleeding was caused by the cut end of the umbilical cord of the baby's twin.

This ICD-10-CM code, P50.5, classifies newborns affected by intrauterine (fetal) blood loss resulting from the severed end of a co-twin's umbilical cord.This condition involves hemorrhage originating during the fetal period and impacting the newborn after birth. It's crucial to differentiate this from other causes of neonatal anemia or hemorrhage.The code excludes congenital anemias stemming from intrauterine blood loss unrelated to the co-twin's umbilical cord.

Example 1: A set of twins is born. During the delivery of the first twin, the umbilical cord is severed.Subsequently, the second twin is born exhibiting signs of anemia due to intrauterine blood loss from the cut umbilical cord of the first twin.Code P50.5 is appropriate., A monochorionic twin pregnancy results in one twin experiencing significant intrauterine blood loss due to vascular anastomoses between the twins. The affected twin is born with anemia and other complications consistent with this type of blood loss.Code P50.5 is used., During a cesarean section involving twins, there is accidental severance of the umbilical cord of one twin before complete separation from the placenta, causing significant blood loss to the co-twin. The second twin displays symptoms of anemia postnatally. Code P50.5 is the appropriate code.

Complete obstetrical history, including details of the pregnancy (e.g., type of twinning, placental structure), delivery (e.g., method, complications), and neonatal assessment (e.g., hemoglobin levels, hematocrit, signs of anemia, physical exam findings).Documentation should clearly indicate the cause-and-effect relationship between the co-twin's umbilical cord and the newborn's blood loss.

** Accurate coding requires precise documentation to establish the causal link between the co-twin's severed umbilical cord and the newborn's blood loss.Consultation with a coding specialist is recommended for complex cases.

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