P38.1 vs P51
P38.1 (Omphalitis with mild hemorrhage) 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. P38.1 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).
No — do not report together. P51 carries an Excludes1 note covering P38.1: “omphalitis with mild hemorrhage (P38.1)”
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
| P38.1Omphalitis with mild hemorrhage | P51Umbilical hemorrhage of newborn | |
|---|---|---|
| Billing status | Billable | 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 with mild hemorrhage is a billable ICD-10-CM diagnosis code (P38.1). | 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