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ICD-10 Guide
ICD-10 CodesChapter 16: Certain conditions originating in the perinatal periodP53

P53

Billable

Hemorrhagic disease of newborn

Chapter 16:Certain conditions originating in the perinatal period

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 P53 is a billable code used to indicate a diagnosis of hemorrhagic disease of newborn.

Key Diagnostic Point:

Hemorrhagic disease of the newborn (HDN) is a condition characterized by bleeding in newborns, primarily due to a deficiency of vitamin K, which is crucial for blood clotting. This condition can manifest in various forms, including cephalohematoma, intracranial hemorrhage, and gastrointestinal bleeding. HDN typically occurs within the first week of life and can lead to significant morbidity if not promptly recognized and treated. The clinical significance of HDN lies in its potential to cause severe complications, including neurological damage and death, making early diagnosis and management essential for affected infants.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation
  • Need for timely diagnosis
  • Potential for serious complications

Audit Risk Factors

  • Inadequate documentation of vitamin K administration
  • Misclassification of hemorrhage types
  • Failure to document associated conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Neonatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of P53 is significant, as timely recognition and management of hemorrhagic disease can prevent serious complications in newborns. Administratively, accurate coding and billing practices for P53 can influence quality measures and healthcare trends, particularly in neonatal care. As awareness of vitamin K deficiency and its consequences grows, healthcare providers are increasingly focused on preventive measures, such as routine vitamin K administration at birth, which can lead to improved population health outcomes.

ICD-9 vs ICD-10

The clinical impact of P53 is significant, as timely recognition and management of hemorrhagic disease can prevent serious complications in newborns. Administratively, accurate coding and billing practices for P53 can influence quality measures and healthcare trends, particularly in neonatal care. As awareness of vitamin K deficiency and its consequences grows, healthcare providers are increasingly focused on preventive measures, such as routine vitamin K administration at birth, which can lead to improved population health outcomes.

Reimbursement & Billing Impact

billing practices for P53 can influence quality measures and healthcare trends, particularly in neonatal care. As awareness of vitamin K deficiency and its consequences grows, healthcare providers are increasingly focused on preventive measures, such as routine vitamin K administration at birth, which can lead to improved population health outcomes.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for P53

Coding & Billing References

  • •
    Official ICD-10 Guidelines for P53

Frequently Asked Questions

What conditions are included in P53?

P53 includes various forms of hemorrhagic disease in newborns, primarily those resulting from vitamin K deficiency. This encompasses conditions such as cephalohematoma, intracranial hemorrhage, and gastrointestinal bleeding, which can occur in the first week of life.

When should I use P53 codes?

P53 codes should be used when diagnosing newborns with bleeding disorders related to vitamin K deficiency. It is crucial to document the specific type of hemorrhage and any associated risk factors to ensure accurate coding.

What documentation is required for P53?

Documentation for P53 should include a detailed clinical history, examination findings, laboratory results confirming vitamin K deficiency, and any treatments administered. It is important to note the timing of the onset of bleeding and any interventions undertaken.