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ICD-10 Guide
ICD-10 CodesP51.8

P51.8

Billable

Other umbilical hemorrhages of newborn

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

Code Description

ICD-10 P51.8 is a billable code used to indicate a diagnosis of other umbilical hemorrhages of newborn.

Key Diagnostic Point:

Umbilical hemorrhage in newborns, particularly from the umbilical stump, is a condition characterized by bleeding that occurs at or near the site of the umbilical cord attachment. This can happen due to various reasons, including improper cord care, infection, or underlying coagulopathy. The bleeding may be minimal or significant, and it is crucial for healthcare providers to assess the newborn for potential complications. In many cases, umbilical hemorrhage can be managed with appropriate care, including ensuring the stump is kept clean and dry, and monitoring for signs of infection or excessive bleeding. If the bleeding is severe, further evaluation may be necessary to rule out underlying conditions such as thrombocytopenia or other hematological disorders. Accurate documentation of the circumstances surrounding the hemorrhage, including the timing, amount, and any associated symptoms, is essential for proper coding and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of bleeding
  • Need for thorough documentation of the cause and management
  • Potential for coexisting conditions affecting bleeding
  • Differentiation from other types of hemorrhage in newborns

Audit Risk Factors

  • Inadequate documentation of the cause of hemorrhage
  • Failure to document associated symptoms or complications
  • Misclassification of the type of hemorrhage
  • Lack of follow-up documentation on management and outcomes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the newborn's condition, including vital signs, assessment of the umbilical stump, and any interventions performed.

Common Clinical Scenarios

Newborns in the NICU with umbilical hemorrhage due to infection or improper cord care.

Billing Considerations

Consideration of the newborn's overall health status and any underlying conditions that may contribute to bleeding.

Pediatrics

Documentation Requirements

Documentation of the newborn's history, including prenatal factors and any family history of bleeding disorders.

Common Clinical Scenarios

Pediatric follow-up visits for newborns with a history of umbilical hemorrhage.

Billing Considerations

Awareness of developmental milestones and potential long-term effects of bleeding disorders.

Coding Guidelines

Inclusion Criteria

Use P51.8 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of the type and cause of hemorrhage, and any associated complications

Exclusion Criteria

Do NOT use P51.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, per day, for evaluation and management of a normal newborn

Clinical Scenario

Used when a newborn with umbilical hemorrhage requires initial evaluation and management.

Documentation Requirements

Document the newborn's condition, assessment findings, and any interventions performed.

Specialty Considerations

Neonatologists should ensure thorough documentation of the newborn's clinical status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of umbilical hemorrhages, improving the ability to capture the nuances of this condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of umbilical hemorrhages, improving the ability to capture the nuances of this condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of umbilical hemorrhages, improving the ability to capture the nuances of this condition and its management.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Hemorrhage Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Hemorrhage Guidelines

Frequently Asked Questions

What are the common causes of umbilical hemorrhage in newborns?

Common causes include improper cord care, infections, and underlying bleeding disorders. It is essential to assess the newborn's overall health and monitor for any complications.