Congenital anemia from fetal blood loss

This code signifies a type of anemia present at birth that results from significant blood loss experienced by the fetus before or during delivery. This blood loss is not due to hemolytic disease or other intrinsic red blood cell disorders, but rather an external event leading to hemorrhage. The anemia is therefore a direct consequence of the fetal blood volume depletion.

Assign this code when documentation clearly indicates a newborn presenting with anemia directly attributed to fetal hemorrhage, such as from a vasa previa rupture, fetomaternal hemorrhage, or placental abruption. Supporting documentation should detail the cause of the blood loss and the resulting anemic state in the neonate.

• Ensure documentation specifies fetal blood loss as the etiology of the anemia, differentiating it from other congenital anemias.
• Do not use for anemias due to hemolysis (e.g., Rh incompatibility) or intrinsic red cell defects.
• Sequence as a primary diagnosis when the anemia is the principal reason for admission or encounter.