NB aff by uterin blood loss from cut end of co-twin's cord

This code signifies a newborn experiencing anemia or hypovolemia due to blood loss from the umbilical cord of a deceased or aborted co-twin. This condition is a specific complication of multiple gestations, particularly in monochorionic pregnancies where vascular anastomoses exist. The surviving twin's circulatory system is compromised by the loss of blood into the non-viable co-twin's circulation.

Use this code when documentation clearly indicates a newborn diagnosis of anemia or hypovolemia directly attributed to the "cut end" or open vascular connections of a co-twin's cord, typically following the demise or termination of the co-twin. Supporting documentation would include obstetric records detailing a multiple gestation with co-twin demise and neonatal records confirming blood loss and its sequelae in the surviving twin.

• Ensure the documentation specifies the blood loss is from the co-twin's cord, not other sources of fetal hemorrhage.
• This code is for the newborn affected; the maternal record would reflect the complications of multiple gestation.
• Sequence this code as a principal diagnosis if it is the primary reason for the newborn's admission or encounter, or as a secondary diagnosis if it is a significant co-morbidity.