Other neonatal hemorrhages (P54)

ICD-10 code P54 and its subcodes classify various types of bleeding in newborns, collectively known as other neonatal hemorrhages. These codes specifically identify bleeding events such as vomiting blood, melena, rectal or vaginal hemorrhages, skin bruising, adrenal hemorrhage, and other less common bleeding sites in newborns.

The ICD-10 code for neonatal hematemesis (P54.0) covers conditions where newborns vomit blood, which may be described as neonatal gastrointestinal hemorrhage or perinatal hematemesis. Code P54.1 is used for neonatal melena, indicating blood present in stools, also called perinatal melena or occult blood detected in feces. P54.2 covers neonatal rectal hemorrhage, specifying bleeding from the rectum and anus in newborns. For other gastrointestinal bleeding sites in neonates, P54.3 is appropriate. Neonatal adrenal hemorrhage, which involves bleeding into the adrenal glands often caused by birth trauma, is coded as P54.4. The code P54.5 identifies bleeding into the skin, such as bruising or petechiae (cutaneous hemorrhage), while P54.6 refers to neonatal vaginal hemorrhage, describing transient bleeding in the vaginal area. P54.8 categorizes other specified hemorrhages in newborns affecting sites like the eyes, oral cavity, or abdominal organs. When the bleeding source cannot be specified, P54.9 is used to denote neonatal hemorrhage, unspecified.

These codes help healthcare professionals and coders precisely document the specific type and location of neonatal bleeding, ensuring accurate identification and subsequent care. Understanding terms like coffeeground vomiting, hematochezia, purpura, or subconjunctival hemorrhage in relation to these codes is essential for selecting the correct ICD-10 code for neonatal hemorrhage cases.