Hemorrhagic and hematological disorders of newborn
ICD-10 Codes (10)
P61P61.0P61.1P61.2P61.3P61.4P61.5P61.6P61.8P61.9Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for P60-P64 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range P60-P64 is specifically designed to classify hemorrhagic and hematological disorders in newborns. These codes cover a variety of conditions, including disorders of coagulation, hemorrhagic disease, transient neonatal thrombocytopenia, and other specified and unspecified hematological disorders. The codes are used to document these conditions in newborns, providing a standardized way to track, analyze, and treat these disorders.
Key Usage Points:
- •Always use specificity where possible, such as identifying the type of hemorrhagic disorder.
- •Remember to code for the underlying condition if it is known.
- •Use additional codes if the newborn has associated manifestations.
- •Consider the timing of the disorder, as some codes specify 'early onset' or 'late onset'.
- •Always check the latest ICD-10 updates for any changes or additions to this range.
Coding Guidelines
When to Use:
- ✓When a newborn is diagnosed with a hemorrhagic disorder.
- ✓When a newborn has a hematological disorder.
- ✓If the newborn has a disorder of coagulation.
- ✓When a newborn has been diagnosed with transient neonatal thrombocytopenia.
- ✓If the newborn has an unspecified hematological disorder.
When NOT to Use:
- ✗When the patient is not a newborn.
- ✗When the disorder is not hematological or hemorrhagic.
- ✗If the condition is not a disorder of coagulation.
- ✗When the disorder is not transient neonatal thrombocytopenia.
- ✗If the disorder is specified and does not fall under this range.
Code Exclusions
Always verify exclusions with the latest ICD-10 guidelines and updates.
Documentation Requirements
Proper documentation is crucial for accurate coding. It should include a clear diagnosis, details of the disorder, any associated manifestations, and the clinical context. The documentation should be specific, clear, and consistent with the clinical findings.
Clinical Information:
- •Specific diagnosis
- •Details of the hematological or hemorrhagic disorder
- •Any associated manifestations
- •Clinical context and findings
- •Any relevant patient history
Supporting Evidence:
- •Laboratory test results
- •Clinical notes
- •Imaging results
- •Notes from other healthcare providers
Good Documentation Example:
Newborn diagnosed with early onset hemorrhagic disease due to vitamin K deficiency, confirmed by laboratory tests.
Poor Documentation Example:
Newborn has a blood disorder.
Common Documentation Errors:
- ⚠Lack of specificity in diagnosis
- ⚠Missing or incomplete clinical context
- ⚠Not coding for associated manifestations
- ⚠Not updating codes with the latest ICD-10 changes
Range Statistics
Coding Complexity
The coding complexity for this range is medium due to the need for specific clinical knowledge, the use of additional codes for manifestations, and the need to stay updated with ICD-10 changes. However, with proper documentation and a clear understanding of the conditions, these codes can be used accurately.
Key Factors:
- ▸Understanding the specific disorder and its clinical context
- ▸Knowing when to use additional codes for associated manifestations
- ▸Keeping up to date with the latest ICD-10 changes
- ▸Understanding the exclusions for this range
- ▸Being able to navigate the ICD-10 for related conditions
Specialty Focus
These codes are primarily used by pediatricians, neonatologists, and hematologists. They are also relevant for any healthcare providers working in neonatal intensive care units (NICUs).
Primary Specialties:
Clinical Scenarios:
- • Newborn with a bleeding disorder diagnosed shortly after birth.
- • Newborn diagnosed with transient neonatal thrombocytopenia due to maternal drugs.
- • Newborn with a coagulation disorder due to vitamin K deficiency.
- • Newborn with an unspecified hematological disorder requiring further investigation.
Resources & References
There are many resources available to help with ICD-10 coding. These include the official ICD-10 guidelines, clinical reference materials, and educational resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Health Information Management Association (AHIMA) guidelines
- American Academy of Pediatrics (AAP) guidelines
Clinical References:
- Clinical Hematology: Theory and Procedures
- Neonatal Hematology: Pathogenesis, Diagnosis, and Management of Hematologic Problems
Educational Materials:
- ICD-10-CM Coding Workbook for Pediatrics
- ICD-10-CM and ICD-10-PCS Coding Handbook
Frequently Asked Questions
Can I use these codes for patients who are not newborns?
No, these codes are specifically designed for newborns. Other codes are available for older patients.