AHA Coding Clinic® for ICD-9 - 2003 Fourth Quarter; VOLUMES 1 & 2 NEW/REVISED CODES

Birth Trauma Injuries to Scalp

Effective October 1, 2003, code 767.1, Birth trauma, Injuries to scalp, has been expanded to uniquely identify epicranial subaponeurotic hemorrhage (subgaleal hemorrhage). Prior to this change, code 767.1 grouped together caput succedaneum, cephalhematoma, and chignon, in addition to massive epicranial subaponeurotic hemorrhage or subgaleal hemorrhage (SGH). SGH is a relatively rare event associated with high rates of newborn mortality and morbidity. The other conditions under 767.1 have no associated mortality or morbidity and are commonly seen after normal spontaneous vaginal delivery or uncomplicated forceps or vacuum extraction deliveries. The creation of a unique code for epicranial...

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