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v1.0.0
ICD-10 Guide
ICD-10 CodesP15.0

P15.0

Billable

Birth injury to liver

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P15.0 is a billable code used to indicate a diagnosis of birth injury to liver.

Key Diagnostic Point:

Birth injury to the liver (ICD-10 code P15.0) refers to damage sustained by the liver during the process of delivery. This condition can arise from various factors, including mechanical trauma during birth, such as forceps delivery or prolonged labor. The liver is a vital organ responsible for numerous metabolic processes, and injury can lead to significant complications in the neonate. Symptoms may include jaundice, abdominal distension, and signs of hemorrhage. The injury can manifest as lacerations, hematomas, or contusions. In some cases, associated conditions such as subcutaneous fat necrosis or adrenal hemorrhage may also be present, complicating the clinical picture. Accurate diagnosis and management are crucial, as liver injuries can lead to long-term consequences if not properly addressed. Neonates with liver injuries require careful monitoring and may need interventions such as imaging studies or surgical procedures depending on the severity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of liver injuries
  • Need for detailed documentation of birth history and delivery method
  • Potential for associated conditions complicating diagnosis
  • Differentiation from other types of birth injuries

Audit Risk Factors

  • Inadequate documentation of the birth process and injury details
  • Failure to capture associated conditions like adrenal hemorrhage
  • Misclassification of the type of injury (e.g., laceration vs. hematoma)
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed birth history, including delivery method and any complications during labor.

Common Clinical Scenarios

Neonates presenting with jaundice and abdominal distension post-delivery, especially after forceps-assisted births.

Billing Considerations

Consideration of associated conditions such as subcutaneous fat necrosis and adrenal hemorrhage, which may require additional coding.

Pediatrics

Documentation Requirements

Comprehensive medical history and physical examination findings related to liver function and injury.

Common Clinical Scenarios

Pediatric follow-up for neonates with liver injuries, monitoring for long-term effects.

Billing Considerations

Awareness of developmental milestones and potential long-term complications related to liver function.

Coding Guidelines

Inclusion Criteria

Use P15.0 When
  • Follow the official ICD
  • 10 coding guidelines for perinatal conditions, ensuring accurate documentation of the birth process and any complications
  • Specific criteria for coding birth injuries must be met, including clear documentation of the injury type and associated conditions

Exclusion Criteria

Do NOT use P15.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99291CPT Code

Critical care, evaluation and management of the neonate

Clinical Scenario

Used when a neonate with liver injury requires critical care management.

Documentation Requirements

Detailed documentation of the neonate's condition and interventions provided.

Specialty Considerations

Neonatologists must ensure comprehensive documentation to support critical care billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of birth injuries, including liver injuries, which enhances the ability to track and manage these conditions effectively. The increased specificity helps in understanding the prevalence and outcomes of such injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of birth injuries, including liver injuries, which enhances the ability to track and manage these conditions effectively. The increased specificity helps in understanding the prevalence and outcomes of such injuries.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of birth injury to the liver?

Common causes include mechanical trauma during delivery, such as forceps use, prolonged labor, or traumatic delivery. Understanding the delivery method is crucial for accurate coding.

How can associated conditions affect the coding of liver injuries?

Associated conditions like subcutaneous fat necrosis or adrenal hemorrhage may require additional codes and careful documentation to ensure accurate representation of the neonate's clinical status.