P50-P61 — Hemorrhagic and hematological disorders of newborn
ICD-10-CM codes P50-P61 cover hemorrhagic and hematological disorders of newborn, within certain conditions originating in the perinatal period. The block holds 81 codes across 12 categories, of which 67 are billable and 14 are header codes that cannot be submitted on a claim.
Risk adjustment in P50-P61
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 248 Intracranial Hemorrhage
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
- HCC 192 Cerebral Palsy, Except Quadriplegic
What else to watch in P50-P61
- 12 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in P50-P61
- P50Newborn affected by intrauterine (fetal) blood loss
- P51Umbilical hemorrhage of newborn
- P52Intracranial nontraumatic hemorrhage of newborn
- P53Hemorrhagic disease of newborn
- P54Other neonatal hemorrhages
- P55Hemolytic disease of newborn
- P56Hydrops fetalis due to hemolytic disease
- P57Kernicterus
- P58Neonatal jaundice due to other excessive hemolysis
- P59Neonatal jaundice from other and unspecified causes
- P60Disseminated intravascular coagulation of newborn
- P61Other perinatal hematological disorders