Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Haemorrhagic and haematological disorders of fetus and newborn
(P50-P61)

Excludes: congenital stenosis and stricture of bile ducts ( Q44.3 )
Crigler-Najjar syndrome ( E80.5 )
Dubin-Johnson syndrome ( E80.6 )
Gilbert's syndrome ( E80.4 )
hereditary haemolytic anaemias ( D55-D58 )

P50 Fetal blood loss
Excludes: congenital anaemia from fetal blood loss ( P61.3 )
P50.0 Fetal blood loss from vasa praevia
P50.1 Fetal blood loss from ruptured cord
P50.2 Fetal blood loss from placenta
P50.3 Haemorrhage into co-twin
P50.4 Haemorrhage into maternal circulation
P50.5 Fetal blood loss from cut end of co-twin's cord
P50.8 Other fetal blood loss
P50.9 Fetal blood loss, unspecified
Fetal haemorrhage NOS

P51 Umbilical haemorrhage of newborn
Excludes: omphalitis with mild haemorrhage ( P38 )
P51.0 Massive umbilical haemorrhage of newborn
P51.8 Other umbilical haemorrhages of newborn
Slipped umbilical ligature NOS
P51.9 Umbilical haemorrhage of newborn, unspecified

P52 Intracranial nontraumatic haemorrhage of fetus and newborn
Includes: intracranial haemorrhage due to anoxia or hypoxia
Excludes: intracranial haemorrhage due to injury:
· birth ( P10.- )
· maternal ( P00.5 )
· other ( S06.- )
P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn
Subependymal haemorrhage (without intraventricular extension)
P52.1 Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn
Subependymal haemorrhage with intraventricular extension
P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3, of fetus and newborn
Subependymal haemorrhage with both intraventricular and intracerebral extension
P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn
P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn
P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

P53 Haemorrhagic disease of fetus and newborn
Vitamin K deficiency of newborn

P54 Other neonatal haemorrhages
Excludes: fetal blood loss ( P50.- )
pulmonary haemorrhage originating in the perinatal period ( P26.- )
P54.0 Neonatal haematemesis
Excludes: that due to swallowed maternal blood ( P78.2 )
P54.1 Neonatal melaena
Excludes: that due to swallowed maternal blood ( P78.2 )
P54.2 Neonatal rectal haemorrhage
P54.3 Other neonatal gastrointestinal haemorrhage
P54.4 Neonatal adrenal haemorrhage
P54.5 Neonatal cutaneous haemorrhage
Bruising
Ecchymoses
Petechiae
Superficial haematomata
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in fetus or newborn
Excludes: bruising of scalp due to birth injury ( P12.3 )
cephalhaematoma due to birth injury ( P12.0 )
P54.6 Neonatal vaginal haemorrhage
Pseudomenses
P54.8 Other specified neonatal haemorrhages
P54.9 Neonatal haemorrhage, unspecified

P55 Haemolytic disease of fetus and newborn
P55.0 Rh isoimmunization of fetus and newborn
P55.1 ABO isoimmunization of fetus and newborn
P55.8 Other haemolytic diseases of fetus and newborn
P55.9 Haemolytic disease of fetus and newborn, unspecified

P56 Hydrops fetalis due to haemolytic disease
Excludes: hydrops fetalis NOS ( P83.2 )
· not due to haemolytic disease ( P83.2 )
P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified haemolytic disease

P57 Kernicterus
P57.0 Kernicterus due to isoimmunization
P57.8 Other specified kernicterus
Excludes: Crigler-Najjar syndrome ( E80.5 )
P57.9 Kernicterus, unspecified

P58 Neonatal jaundice due to other excessive haemolysis
Excludes: jaundice due to isoimmunization ( P55-P57 )
P58.0
# 		Neonatal jaundice due to bruising
Neonatal jaundice due to cephalhaematoma
P58.1 Neonatal jaundice due to bleeding
P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythaemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
P58.5 Neonatal jaundice due to swallowed maternal blood
P58.8 Neonatal jaundice due to other specified excessive haemolysis
P58.9 Neonatal jaundice due to excessive haemolysis, unspecified

P59 Neonatal jaundice from other and unspecified causes
Excludes: due to inborn errors of metabolism ( E70-E90)
kernicterus ( P57.-)
P59.0 Neonatal jaundice associated with preterm delivery
Hyperbilirubinaemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery
P59.1 Inspissated bile syndrome
P59.2 Neonatal jaundice from other and unspecified hepatocellular damage
# Idiopathic neonatal hepatitis
Excludes: congenital viral hepatitis ( P35.3)
P59.3 Neonatal jaundice from breast milk inhibitor
P59.8 Neonatal jaundice from other specified causes
P59.9 Neonatal jaundice, unspecified
Physiological jaundice (intense)(prolonged) NOS

P60 Disseminated intravascular coagulation of fetus and newborn
Defibrination syndrome of fetus or newborn

P61 Other perinatal haematological disorders
Excludes: transient hypogammaglobulinaemia of infancy ( D80.7 )
P61.0 Transient neonatal thrombocytopenia

# 		Neonatal thrombocytopenia due to:
· alloimmune
· exchange transfusion
· idiopathic maternal thrombocytopenia
· isoimmunization
P61.1 Polycythaemia neonatorum
P61.2 Anaemia of prematurity
P61.3 Congenital anaemia from fetal blood loss
P61.4 Other congenital anaemias, not elsewhere classified
Congenital anaemia NOS
P61.5 Transient neonatal neutropenia
P61.6 Other transient neonatal disorders of coagulation
P61.8 Other specified perinatal haematological disorders
P61.9 Perinatal haematological disorder, unspecified