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ICD-10 Guide
ICD-10 CodesP61.6

P61.6

Billable

Other transient neonatal disorders of coagulation

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

Code Description

ICD-10 P61.6 is a billable code used to indicate a diagnosis of other transient neonatal disorders of coagulation.

Key Diagnostic Point:

Transient neonatal disorders of coagulation encompass a variety of hematological conditions that can affect newborns, particularly those born prematurely or with low birth weight. These disorders may include thrombocytopenia, which is characterized by a low platelet count, and polycythemia, where there is an excess of red blood cells. Thrombocytopenia in neonates can result from various factors, including maternal conditions such as gestational diabetes or preeclampsia, and can lead to increased bleeding risk. Polycythemia, on the other hand, may occur due to intrauterine hypoxia or delayed cord clamping, leading to increased blood viscosity and potential complications such as jaundice or respiratory distress. These conditions are often transient, resolving as the newborn matures, but they require careful monitoring and management in the neonatal intensive care unit (NICU) to prevent serious complications. Accurate coding of these conditions is essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and underlying causes
  • Need for precise laboratory values to support diagnosis
  • Differentiation from other hematological disorders
  • Potential for co-occurring conditions requiring additional codes

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to specify transient nature of the disorder
  • Misclassification of related hematological conditions
  • Inconsistent coding of co-occurring diagnoses

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including laboratory results and clinical observations.

Common Clinical Scenarios

Management of a preterm infant with thrombocytopenia requiring platelet transfusions.

Billing Considerations

Consideration of maternal health factors and their impact on neonatal coagulation disorders.

Pediatrics

Documentation Requirements

Comprehensive pediatric history including prenatal factors and postnatal assessments.

Common Clinical Scenarios

Follow-up of a newborn with polycythemia presenting with jaundice.

Billing Considerations

Understanding the long-term implications of transient hematological disorders on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P61.6 When
  • Follow official ICD
  • 10 guidelines for coding perinatal conditions, ensuring accurate documentation of laboratory findings and clinical assessments
  • Use additional codes for any co
  • occurring conditions that may impact treatment

Exclusion Criteria

Do NOT use P61.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for obtaining blood samples to assess coagulation status in neonates.

Documentation Requirements

Document the reason for blood draw and any relevant clinical findings.

Specialty Considerations

Neonatologists should ensure that blood draws are performed with minimal discomfort to the infant.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal coagulation disorders, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and complications associated with these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal coagulation disorders, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and complications associated with these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal coagulation disorders, improving the accuracy of diagnoses and treatment plans. It has also enhanced the ability to track outcomes and complications associated with these conditions.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Hematology

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Hematology

Frequently Asked Questions

What are the common causes of transient neonatal coagulation disorders?

Common causes include maternal health issues such as gestational diabetes, preeclampsia, and conditions leading to intrauterine hypoxia. These factors can affect the newborn's hematological status, leading to disorders like thrombocytopenia and polycythemia.