Umbilical hemorrhage of newborn
Chapter 16:Certain conditions originating in the perinatal period
ICD-10 P51 is a billable code used to indicate a diagnosis of umbilical hemorrhage of newborn.
Umbilical hemorrhage of the newborn, classified under ICD-10 code P51, refers to bleeding that occurs from the umbilical stump after birth. This condition can arise due to various factors, including improper cord clamping, infection, or trauma during delivery. The umbilical cord, which connects the fetus to the placenta, is typically clamped and cut shortly after birth. However, if the stump is not managed properly, it can lead to significant bleeding. Clinically, umbilical hemorrhage may present as visible blood at the site of the stump or in the diaper. It is crucial for healthcare providers to monitor the newborn closely for signs of excessive bleeding, which can lead to hypovolemia and shock if not addressed promptly. Management typically involves careful examination of the stump, ensuring proper care and hygiene, and in some cases, cauterization or surgical intervention may be necessary to control the bleeding. Accurate documentation of the circumstances surrounding the hemorrhage, including any interventions performed, is essential for appropriate coding and billing.
Detailed notes on the umbilical stump's appearance, any interventions performed, and the newborn's response.
A newborn presents with bleeding from the umbilical stump after a difficult delivery; monitoring and management in the NICU.
Ensure that all interventions are documented, including any cauterization or surgical procedures.
Documentation should include the history of the bleeding event and any follow-up care provided.
A pediatric visit for a newborn with ongoing umbilical stump bleeding requiring further evaluation.
Consider the potential for underlying coagulopathy or other bleeding disorders.
Performed when there is significant bleeding from the umbilical stump.
Document the indication for cauterization and the procedure details.
Neonatologists should ensure that all procedural notes are clear and concise.
Common causes include improper cord clamping, infection, and trauma during delivery. It is essential to monitor the umbilical stump closely for any signs of bleeding.
