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    v1.0.28
    OpenPayerBilling CodesRespiratory and cardiovascular disorders specific to the perinatal periodICD-10-CM p26-pulmonary-hemorrhage-perinatal
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    ICD-10-CM Code For Pulmonary Hemorrhage Originating In The Perinatal Period: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P26 includes diagnoses of pulmonary hemorrhage in the perinatal period, covering bleeding into the lungs or airways of the newborn and related respiratory compromise. These ICD-10-CM diagnosis codes are used to document acute neonatal respiratory bleeding events, associated respiratory failure, and any severity or organ involvement that affects clinical management. Accurate coding within the ICD-10-CM P26 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM P26: Pulmonary Hemorrhage Originating In The Perinatal Period Overview

    The ICD-10-CM P26 group represents pulmonary hemorrhage occurring in newborns during the perinatal period, affecting the respiratory system with bleeding into the lungs or airways. These diagnoses capture the acute respiratory compromise and potential cardiovascular impact in neonates. Accurate coding is important for complete clinical records and for appropriate reimbursement and claim processing related to neonatal intensive care.

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    When to Use

    Use a code from this group when a newborn in the perinatal period is diagnosed with pulmonary hemorrhage or bleeding into the lungs identified clinically or radiographically. Assign the code that best reflects the documented clinical scenario, including associated respiratory failure or other complications.

    ICD-10-CM Codes

    4 rows

    ICD-10-CM CodeDescription
    P26.0Tracheobronchial hemorrhage originating in the perinatal period
    P26.1Massive pulmonary hemorrhage originating in the perinatal period
    P26.8Other pulmonary hemorrhages originating in the perinatal period
    P26.9Unspecified pulmonary hemorrhage originating in the perinatal period

    DRG Codes

    2 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • A term neonate develops sudden respiratory distress and bloody tracheal secretions within hours after birth following a difficult vaginal delivery with suspected birth trauma and meconium-stained fluid. The infant requires intubation and positive pressure ventilation in the NICU, chest radiograph shows diffuse pulmonary infiltrates, and clinicians document pulmonary hemorrhage originating in the perinatal period as the cause of acute bleeding into the airways. Typical codes: P26.0
    • A preterm infant born at 28 weeks with severe surfactant deficiency and prolonged ventilator dependence experiences recurrent episodes of hemoptysis and oxygen desaturation during the first week of life; bronchoscopy confirms bleeding from multiple lung segments. This ongoing neonatal pulmonary bleeding related to perinatal respiratory immaturity and iatrogenic ventilator support is coded within this group to capture pulmonary hemorrhage occurring in the perinatal period. Typical codes: P26.1, P26.8
    • A newborn transferred from an outside hospital after stabilization for suspected congenital coagulopathy presents with persistent bloody endotracheal secretions and anemia requiring transfusion; evaluation excludes focal structural lesions and suggests diffuse alveolar hemorrhage in the perinatal period as a comorbid complication of the bleeding disorder. Coding is assigned to indicate pulmonary hemorrhage as a complication in the perinatal timeframe. Typical codes: P26.8, P26.9

    Related Codes

    P19-METABOLIC-ACIDEMIA-IN-NEWBORN

    ICD-10-CM Code For Metabolic Acidemia In Newborn: Group Overview

    P22-RESPIRATORY-DISTRESS-OF-NEWBORN

    ICD-10-CM Code For Respiratory Distress Of Newborn: Group Overview

    P23-CONGENITAL-PNEUMONIA

    ICD-10-CM Code For Congenital Pneumonia: Group Overview

    P24-NEONATAL-ASPIRATION

    ICD-10-CM Code For Neonatal Aspiration: Group Overview

    P25-INTERSTITIAL-EMPHYSEMA-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Interstitial Emphysema And Related Conditions Originating In The Perinatal Period: Group Overview

    P27-CHRONIC-RESPIRATORY-DISEASE-PERINATAL

    ICD-10-CM Code For Chronic Respiratory Disease Originating In The Perinatal Period: Group Overview

    P28-OTHER-RESPIRATORY-PERINATAL-CONDITIONS

    ICD-10-CM Code For Other Respiratory Conditions Originating In The Perinatal Period: Group Overview

    P29-CARDIOVASCULAR-DISORDERS-PERINATAL

    ICD-10-CM Code For Cardiovascular Disorders Originating In The Perinatal Period: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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