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v1.0.0
ICD-10 Guide
ICD-10 CodesP83.6

P83.6

Billable

Umbilical polyp of newborn

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

Code Description

ICD-10 P83.6 is a billable code used to indicate a diagnosis of umbilical polyp of newborn.

Key Diagnostic Point:

Umbilical polyp of newborn is a benign growth that arises from the umbilical remnant in neonates. These polyps can vary in size and may present as a small, fleshy mass at the umbilicus. They are typically asymptomatic but can occasionally become irritated or infected. The condition is often diagnosed during routine examinations in the neonatal period. Umbilical polyps are thought to result from incomplete involution of the umbilical cord structures. While they are generally harmless, they may require surgical excision if they become symptomatic or if there is concern for infection. It is important for healthcare providers to differentiate umbilical polyps from other umbilical abnormalities, such as umbilical hernias or granulomas, which may require different management approaches. Proper documentation and coding are essential to ensure accurate representation of the condition in medical records and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other umbilical conditions (e.g., hernias, granulomas)
  • Variability in presentation and symptoms
  • Potential for surgical intervention
  • Need for accurate documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Misdiagnosis due to similarity with other umbilical conditions
  • Failure to document surgical interventions
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed clinical notes including size, appearance, and any symptoms of the umbilical polyp.

Common Clinical Scenarios

Assessment of umbilical polyp during routine neonatal examination in NICU or nursery.

Billing Considerations

Consideration of potential complications such as infection or irritation.

Pediatrics

Documentation Requirements

Documentation of any parental concerns, physical examination findings, and treatment plans.

Common Clinical Scenarios

Follow-up visits for umbilical polyp management in outpatient pediatric settings.

Billing Considerations

Monitoring for changes in size or symptoms that may indicate the need for intervention.

Coding Guidelines

Inclusion Criteria

Use P83.6 When
  • Follow the official ICD
  • CM guidelines for coding conditions related to the umbilical cord and associated anomalies
  • Ensure that documentation supports the diagnosis and any interventions performed

Exclusion Criteria

Do NOT use P83.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49000CPT Code

Exploratory laparotomy, diagnostic

Clinical Scenario

Used if surgical intervention is required for umbilical polyp.

Documentation Requirements

Document indications for surgery and findings during the procedure.

Specialty Considerations

Neonatologists should ensure that surgical notes are detailed and include any findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like umbilical polyp, improving the accuracy of medical records and billing. It has also facilitated better tracking of neonatal conditions and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like umbilical polyp, improving the accuracy of medical records and billing. It has also facilitated better tracking of neonatal conditions and outcomes.

Reimbursement & Billing Impact

billing. It has also facilitated better tracking of neonatal conditions and outcomes.

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 is the typical management for an umbilical polyp in a newborn?

Management typically involves monitoring the polyp for changes. If it becomes symptomatic or shows signs of infection, surgical excision may be indicated. Regular follow-up is essential to ensure no complications arise.