Bruising of scalp due to birth injury

This code signifies the presence of ecchymosis or contusion on the scalp of a neonate, directly resulting from trauma experienced during the birth process. It indicates superficial tissue damage without an open wound, specifically located on the head.

Apply this code when documentation explicitly states a newborn sustained scalp bruising attributed to birth injury, such as from forceps delivery, vacuum extraction, or prolonged labor. Supporting documentation includes physician notes detailing the injury's location, nature, and its direct association with the birthing event.

• Ensure documentation clearly links the scalp bruising to the birth process; otherwise, consider codes for unspecified scalp contusion.
• Do not use this code for lacerations or open wounds of the scalp; those require different codes.
• Sequence this code after the primary diagnosis related to the newborn's care, if applicable.