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2025 ICD-10-CM code P56

Hydrops fetalis due to hemolytic disease.

Code P56 is used exclusively for newborn records and should never be used on maternal records.It is important to distinguish hydrops fetalis due to hemolytic disease (P56) from hydrops fetalis due to other causes (P83.2).The specific type of hemolytic disease, if known, should be coded using the appropriate subcategories (e.g., P56.0 for isoimmunization).

The medical necessity of services related to P56 is established by the presence of signs and symptoms of hydrops fetalis in a newborn.Treatment is directed at the underlying cause of the hemolytic disease and managing the resulting fluid buildup and related complications.The severity of the condition warrants medical intervention to stabilize the newborn and prevent life-threatening consequences.

Diagnosis and initial management of hydrops fetalis typically fall under the purview of neonatologists and pediatricians.Treatment plans may involve specialists from other fields depending on the underlying cause and specific complications.These may include pediatric cardiologists, pediatric surgeons, and hematologists. Close monitoring and ongoing care are essential.

In simple words: Hydrops fetalis is a serious condition in newborns where their bodies accumulate too much fluid, causing swelling. This swelling is due to a problem with their red blood cells being broken down.

Hydrops fetalis due to hemolytic disease.A severe condition in newborns characterized by abnormal fluid buildup in two or more body areas, including the lungs, heart, abdomen, or skin, caused by the destruction of red blood cells.

Example 1: A newborn infant presents with generalized edema, respiratory distress, and pleural effusions.Diagnostic tests reveal severe anemia and an enlarged liver and spleen, confirming hydrops fetalis due to Rh incompatibility between the mother and infant., A preterm infant develops hydrops fetalis in utero secondary to alpha-thalassemia, a genetic blood disorder causing significant red blood cell destruction. The infant requires intensive care at birth, including respiratory support and transfusions., A neonate is diagnosed with hydrops fetalis due to parvovirus B19 infection acquired in utero.The infection has led to severe anemia and heart failure, requiring specialized medical intervention.

Documentation for P56 should include detailed clinical findings supporting the diagnosis of hydrops fetalis, such as the presence of edema, pleural effusions, ascites, or pericardial effusions.Laboratory results confirming hemolytic disease, such as blood type incompatibility, Coombs test results, or evidence of other causes of hemolysis, are crucial.Any associated conditions or complications should also be documented.

** Hydrops fetalis is a life-threatening condition requiring prompt diagnosis and intensive medical care. The long-term prognosis depends on the underlying cause, the severity of the condition, and the effectiveness of treatment.Supportive care may involve managing respiratory distress, addressing heart failure, and correcting anemia through transfusions.

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