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P12.0

Billable

Cephalhematoma due to birth injury

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A collection of blood between the baby's scalp and the membrane covering the skull bone, typically caused by pressure during delivery.

Coding Tips

  • Cephalhematomas are common in newborns and usually resolve spontaneously; document whether treatment was required
  • Differentiate from caput succedaneum (P12.81), which is swelling of soft tissue rather than blood collection

Code Hierarchy

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