2025 ICD-10-CM code P54.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Hemorrhagic - Hemorrhagic and hematological disorders of newborn (P50-P61) Certain conditions originating in the perinatal period (P00-P96) Feed
Neonatal adrenal hemorrhage; bleeding in the adrenal glands of a newborn.
Modifiers are not applicable to ICD-10 diagnosis codes. Modifiers apply to procedure codes (CPT, HCPCS).
Medical necessity for treatment of neonatal adrenal hemorrhage is established by the presence of symptoms and/or imaging evidence confirming the diagnosis and the severity justifying intervention. The need for imaging, supportive care, or surgical intervention depends on the size and location of the hemorrhage and its clinical impact.
The clinical responsibility for managing a case of neonatal adrenal hemorrhage involves a multidisciplinary team, including neonatologists, obstetricians, and potentially surgeons.Depending on the severity, intensive care may be required. Monitoring for complications such as hypovolemic shock, adrenal insufficiency, and sepsis is crucial.
In simple words: This code means a newborn baby had bleeding in their adrenal glands, which are small glands located on top of the kidneys. This can happen during a difficult birth.
Neonatal adrenal hemorrhage (P54.4) is a condition characterized by bleeding within the adrenal glands of a newborn infant.This can occur due to various factors related to the birthing process, such as difficult delivery, instrumental assistance, or birth trauma. The hemorrhage may result in varying degrees of clinical manifestation, ranging from asymptomatic to life-threatening complications depending on the severity of bleeding and potential associated complications.Accurate diagnosis often involves imaging studies.
Example 1: A newborn infant presents with respiratory distress and hypotension shortly after a complicated vaginal delivery involving the use of vacuum extraction. Imaging reveals a significant adrenal hemorrhage requiring close monitoring and supportive care., A full-term neonate born via Cesarean section due to fetal distress shows signs of adrenal insufficiency following a confirmed adrenal hemorrhage on imaging. Treatment includes close monitoring of electrolytes and hormone levels, and possibly supportive medication., An asymptomatic newborn is found to have a small adrenal hemorrhage on an ultrasound performed for an unrelated reason. The hemorrhage is deemed insignificant and requires only periodic observation.
Documentation should include the mother's prenatal and labor and delivery records; the infant's birth history, including the method of delivery; physical exam findings; any imaging studies performed (such as ultrasound or CT scan); laboratory results (such as hematocrit and electrolyte levels); treatment provided; and the course of recovery.
** The severity of neonatal adrenal hemorrhage can range from mild to severe.The prognosis depends on the extent of the hemorrhage and the presence of associated complications.Accurate diagnosis and timely intervention are vital for optimal outcomes.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the healthcare setting.Consult your payer's guidelines.
- RVU: RVUs are not applicable to ICD-10 codes. RVUs are associated with CPT codes which represent procedures and services.The cost of treating neonatal adrenal hemorrhage will depend on the severity and the interventions required.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Neonatology, Obstetrics
- Place of Service:Inpatient Hospital, Newborn Nursery