ICD-10 Diagnosis Code P78.2

Neonatal hematemesis and melena d/t swallowed matern blood

Diagnosis Code P78.2

ICD-10: P78.2
Short Description: Neonatal hematemesis and melena d/t swallowed matern blood
Long Description: Neonatal hematemesis and melena due to swallowed maternal blood
This is the 2017 version of the ICD-10-CM diagnosis code P78.2

Code Classification
  • Certain conditions originating in the perinatal period
    • Digestive system disorders of newborn (P76-P78)
      • Other perinatal digestive system disorders (P78)

Information for Medical Professionals

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The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
  • 777.3 - Swallowed blood syndrome

  • Hematemesis AND/OR melena due to swallowed maternal blood
  • Hematemesis of newborn due to swallowed maternal blood
  • Melena of newborn due to swallowed maternal blood
  • Newborn ingestion of maternal blood

Information for Patients

Gastrointestinal Bleeding

Also called: GI bleeding

Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. Bleeding can come from any of these areas. The amount of bleeding can be so small that only a lab test can find it.

Signs of bleeding in the digestive tract depend where it is and how much bleeding there is.

Signs of bleeding in the upper digestive tract include

  • Bright red blood in vomit
  • Vomit that looks like coffee grounds
  • Black or tarry stool
  • Dark blood mixed with stool

Signs of bleeding in the lower digestive tract include

  • Black or tarry stool
  • Dark blood mixed with stool
  • Stool mixed or coated with bright red blood

GI bleeding is not a disease, but a symptom of a disease. There are many possible causes of GI bleeding, including hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulosis and diverticulitis, ulcerative colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach or esophagus.

The test used most often to look for the cause of GI bleeding is called endoscopy. It uses a flexible instrument inserted through the mouth or rectum to view the inside of the GI tract. A type of endoscopy called colonoscopy looks at the large intestine.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Bleeding esophageal varices
  • Bloody or tarry stools
  • Gastrointestinal bleeding
  • Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Mallory-Weiss tear
  • Vomiting blood

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Nausea and Vomiting

Also called: Emesis

Nausea is an uneasy or unsettled feeling in the stomach together with an urge to vomit. Nausea and vomiting, or throwing up, are not diseases. They can be symptoms of many different conditions. These include morning sickness during pregnancy, infections, migraine headaches, motion sickness, food poisoning, cancer chemotherapy or other medicines.

For vomiting in children and adults, avoid solid foods until vomiting has stopped for at least six hours. Then work back to a normal diet. Drink small amounts of clear liquids to avoid dehydration.

Nausea and vomiting are common. Usually, they are not serious. You should see a doctor immediately if you suspect poisoning or if you have

  • Vomited for longer than 24 hours
  • Blood in the vomit
  • Severe abdominal pain
  • Headache and stiff neck
  • Signs of dehydration, such as dry mouth, infrequent urination or dark urine

  • Bland diet
  • Diet - clear liquid
  • Nausea and vomiting
  • When you have nausea and vomiting

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Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.

  • Crying - excessive (0-6 months)
  • Failure to thrive
  • Hemorrhagic disease of the newborn
  • Hyperglycemia - infants
  • Neonatal respiratory distress syndrome
  • Neonatal sepsis
  • Neutropenia - infants

[Read More]
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