RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response. *

CODING QUESTION:  Newborn (11 days old), ED visit, with Final dx:  “Bleeding from wound” and “Circumcision complication”. 

This is also documented under ED course:  “Bleeding at lower left aspect of the circumcision line.  Monsels solution applied and seemed to stop it.  Xeroform re-applied.“  This is documented under exam:  “penis with recent circumcision wound.  There is mild oozing of blood.”  How should I code this?

RMC RESPONSE: Code P96.89 Other specified condition originating in the perinatal period, N99.820 Postprocedure hemorrhage of a genitourinary system organ following a genitourinary system procedure & Y83.8.  

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*Every effort has been made to answer these questions to the best of RMC’s abilities, at the time the original question was submitted.  Answers should not be considered official coding advice, and we always encourage conversation and dialogue regarding our responses.  As best practice policy, always be sure to refer to your Official Coding Guidelines , Coding Clinic, CPT Assistant, etc.