Tracheobronchial hemorrhage origin in the perinatal period

This code describes bleeding within the trachea or bronchi that begins during the perinatal period, which extends from 22 weeks of gestation through 28 days after birth. This hemorrhage can manifest as hemoptysis, bloody tracheal aspirates, or diffuse bleeding within the airways of a neonate. It signifies a potentially serious respiratory complication in newborns.

Use this code for neonates (0-28 days old) diagnosed with tracheobronchial hemorrhage where the onset of bleeding is documented as occurring within the perinatal period. Documentation should clearly indicate the presence of blood in the airways and specify its origin as tracheobronchial, along with the timing of onset. This code is appropriate for conditions like pulmonary hemorrhage in neonates when the bleeding source is identified within the tracheobronchial tree.

• Ensure documentation specifies the perinatal period for the onset of hemorrhage; otherwise, consider other hemorrhage codes.
• Distinguish from pulmonary hemorrhage not specifically originating in the tracheobronchial tree; other P codes may be more appropriate.
• Always sequence this code after the primary diagnosis or condition leading to the hemorrhage, if applicable.