P54.0 vs P78.2
P54.0 (Neonatal hematemesis) compared with P78.2 (Neonatal hematemesis and melena due to swallowed maternal blood), 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. P54.0 carries an Excludes1 note covering P78.2: “neonatal hematemesis due to swallowed maternal blood (P78.2)”
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. P78.2 carries an Excludes1 note covering P54.0: “neonatal gastrointestinal hemorrhages (P54.0-P54.3)”
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
| P54.0Neonatal hematemesis | P78.2Neonatal hematemesis and melena due to swallowed maternal blood | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Neonatal hematemesis is a billable ICD-10-CM diagnosis code (P54.0). | Neonatal hematemesis and melena due to swallowed maternal blood is a billable ICD-10-CM diagnosis code (P78.2). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources