Question

Newborn transferred to Children’s Hospital after birth at local community hospital. Reasons for transfer are premature infant, 32 weeks gestation, and birthweight of 1,800 grams with grade 1 intraventricular hemorrhage. Provide rationale for code selection.

Answer 1

P52.0 newborn, affected by hemorrhage, intraventricular grade 1

P07.17 low birth weight with weight of 1750-1999 grams

P07.35 preterm newborn, gestational age 32 completed weeks.

Coding for the services at hospital where the baby was received by transfer does not include a Z38 code for the newborn as it is only assigned at the hospital where the baby is born.

There were several reasons for transfer: premature infant, short gestation, low birth weight and intraventricular hemorrhage.  

The condition that meets the definition of principal diagnosis would be selected. ie hemorrhage.