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v1.0.0
ICD-10 Guide
ICD-10 CodesP54.8

P54.8

Billable

Other specified neonatal hemorrhages

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

Code Description

ICD-10 P54.8 is a billable code used to indicate a diagnosis of other specified neonatal hemorrhages.

Key Diagnostic Point:

P54.8 refers to other specified neonatal hemorrhages that are not classified elsewhere. This includes various forms of bleeding that can occur in neonates, particularly in the gastrointestinal and pulmonary systems. Gastrointestinal hemorrhages may arise from conditions such as necrotizing enterocolitis or stress-induced mucosal disease, presenting as bloody stools or emesis. Pulmonary hemorrhages can occur due to conditions like respiratory distress syndrome or trauma during delivery, leading to coughing up blood or blood-tinged secretions. These hemorrhages can be life-threatening and require immediate medical attention. The management of these conditions often involves stabilization of the neonate, supportive care, and addressing the underlying cause of the hemorrhage. Accurate coding is essential for proper treatment documentation and reimbursement, as well as for tracking outcomes in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes for hemorrhage
  • Need for detailed clinical documentation to specify type and source of bleeding
  • Differentiation from other hemorrhagic conditions
  • Potential for co-morbidities that complicate diagnosis

Audit Risk Factors

  • Inadequate documentation of the source of hemorrhage
  • Failure to specify associated conditions or complications
  • Misclassification of the type of hemorrhage
  • Lack of clarity in clinical notes regarding treatment provided

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed notes on the neonate's clinical status, interventions, and outcomes related to hemorrhage.

Common Clinical Scenarios

Neonates presenting with bloody stools, respiratory distress with hemoptysis, or signs of shock due to hemorrhage.

Billing Considerations

Consider gestational age and weight, as these factors significantly influence the risk and management of hemorrhagic conditions.

Pediatrics

Documentation Requirements

Comprehensive history and physical examination notes, including any prior neonatal complications.

Common Clinical Scenarios

Pediatric patients with a history of neonatal hemorrhage presenting with ongoing gastrointestinal or respiratory issues.

Billing Considerations

Awareness of long-term implications of neonatal hemorrhages on growth and development.

Coding Guidelines

Inclusion Criteria

Use P54.8 When
  • Follow the ICD
  • CM guidelines for coding neonatal conditions, ensuring specificity in documentation
  • Use additional codes to capture any associated conditions or complications

Exclusion Criteria

Do NOT use P54.8 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 infant

Clinical Scenario

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

Documentation Requirements

Document the clinical findings, interventions, and any complications.

Specialty Considerations

Neonatologists should ensure comprehensive documentation to support the medical necessity of the services provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of neonatal hemorrhages, improving the ability to track outcomes and manage care effectively. The specificity of ICD-10 codes aids in better understanding the epidemiology of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of neonatal hemorrhages, improving the ability to track outcomes and manage care effectively. The specificity of ICD-10 codes aids in better understanding the epidemiology of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of neonatal hemorrhages, improving the ability to track outcomes and manage care effectively. The specificity of ICD-10 codes aids in better understanding the epidemiology of these conditions.

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 neonatal hemorrhage?

Common causes include trauma during delivery, coagulopathy, and conditions like necrotizing enterocolitis. Each case requires careful evaluation to determine the underlying cause and appropriate management.