P38 vs P51
P38 (Omphalitis of newborn) compared with P51 (Umbilical hemorrhage of newborn), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. P38 carries an Excludes1 note covering P51: “umbilical hemorrhage of newborn (P51.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| P38Omphalitis of newborn | P51Umbilical hemorrhage of newborn | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Omphalitis of newborn is a non-billable ICD-10-CM category code (P38). | Umbilical hemorrhage of newborn is a non-billable ICD-10-CM category code (P51). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources