P60Billable, valid for claims from October 1, 2026

Disseminated intravascular coagulation of newborn

In Hemorrhagic and hematological disorders of newborn (P50-P61), chapter 16: Certain Conditions Originating in the Perinatal Period

  • P60 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under P50-P61 below.
  • As a secondary diagnosis it is an MCC (major complication), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 28 closely related codes.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
  • 80 US deaths in 2024 had an underlying cause in category P60, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.

Also indexed as: Coagulopathy, intravascular, newborn; Defibrination, newborn; Fibrinolysis, newborn, transient; Syndrome, defibrination, newborn

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Instructional notes

Includes: conditions that are coded here

  • Defibrination syndrome of newborn

Also applies, from Hemorrhagic and hematological disorders of newborn (P50-P61)

These notes sit on P50-P61 and apply to every code under it, including P60.

Excludes1: not coded here, use a different code

  • congenital stenosis and stricture of bile ducts (Q44.3)
  • Crigler-Najjar syndrome (E80.5)
  • Dubin-Johnson syndrome (E80.6)
  • Gilbert syndrome (E80.4)
  • hereditary hemolytic anemias (D55-D58)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.

Read Section I.C.16 (page 71)

P60 MS-DRGs

As the principal diagnosis, P60 groups to MS-DRG 791 or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

P60 is in Hemorrhagic and hematologic disorders of newborn (PNL011, its default category), with 41 codes. Others in it:

  • P50.0 Newborn affected by intrauterine (fetal) blood loss from vasa previa
  • P50.1 Newborn affected by intrauterine (fetal) blood loss from ruptured cord
  • P50.2 Newborn affected by intrauterine (fetal) blood loss from placenta
  • P50.3 Newborn affected by hemorrhage into co-twin
  • P50.4 Newborn affected by hemorrhage into maternal circulation
  • P50.5 Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cord
  • P50.8 Newborn affected by other intrauterine (fetal) blood loss
  • P50.9 Newborn affected by intrauterine (fetal) blood loss, unspecified

Other codes that refer to P60

Notes on these codes point to P60.

  • D65 Excludes1: in newborn (P60)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Bleeding Disorders

Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.

Read more about bleeding disorders on MedlinePlus

Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Read more about uncommon infant and newborn problems on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 776.2 Disseminated intravascular coagulation in newborn
ICD-9 to ICD-10 converter