AHA Coding Clinic® for ICD-9 - 2010 Quarter 4; VOLUMES 1 & 2 NEW/REVISED CODES
Acute Idiopathic Pulmonary Hemorrhage in Infants
Effective October 1, 2010, code 786.3 , Hemoptysis, was expanded to create a new code ( 786.31 ) to identify acute idiopathic pulmonary hemorrhage in infants (AIPHI) older than 28 days. AIPHI is a rare condition that is characterized by the abrupt start of pulmonary hemorrhage in a previously healthy baby. Signs and symptoms of pulmonary hemorrhage include hemoptysis and blood in the nose or airway without evidence of upper respiratory or gastrointestinal bleeding. These infants usually present with acute, severe respiratory distress or failure requiring mechanical ventilation, and in most cases bilateral infiltrates are demonstrated on chest...
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Article Overview
This article covers an ICD-9-CM code update effective October 1, 2010, focused on hemoptysis and acute idiopathic pulmonary hemorrhage in infants. It explains the addition of a new diagnosis code, the surrounding code revisions, and the related neonatal-period distinction for reporting purposes. The content is relevant for coders, CDI staff, pediatric and neonatal practices, and anyone tracking diagnosis coding changes for rare infant respiratory conditions.
Why This Topic Matters
The update affects how infant pulmonary hemorrhage is categorized in diagnosis coding and supports more specific reporting for a rare condition. It is important for accurate data capture, code maintenance, and staying current with ICD-9-CM changes.
Article Sections
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Effective date and code expansion
Introduces the timing of the diagnosis code update and the overall change to the existing hemoptysis category.
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Clinical background and coding context
Summarizes the condition being addressed, its general presentation, and the reason a specific diagnosis code was added for tracking.
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New and revised diagnosis code entries
Presents the revised code listing structure, including the new diagnosis code and related notes in the affected code family.
What You Will Learn
- The scope of the ICD-9-CM diagnosis code update
- How the article frames the new infant pulmonary hemorrhage category
- What related code family revisions are described
- Which clinical context prompted the new diagnosis code
- How the update supports tracking and reporting needs
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Pediatric practices
- Neonatal care teams
- Revenue cycle professionals
Codes Discussed
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