Neonatal adrenal hemorrhage

This code signifies bleeding within the adrenal gland of a newborn. It can range from small, asymptomatic hemorrhages to larger bleeds causing adrenal insufficiency or mass effect. The condition is typically identified shortly after birth.

Apply this code when documentation confirms a diagnosis of adrenal hemorrhage in a neonate, often identified via imaging studies like ultrasound. This diagnosis is frequently associated with birth trauma, perinatal asphyxia, or coagulopathies.

• Ensure documentation specifies "neonatal" or "newborn" to differentiate from adult adrenal hemorrhage.
• Code any associated symptoms or complications, such as adrenal insufficiency (E27.49) or shock, as secondary diagnoses.
• Review the medical record for the cause of the hemorrhage, if identified, to determine if an external cause code is also warranted.