P54.0 vs R19
P54.0 (Neonatal hematemesis) compared with R19 (Other symptoms and signs involving the digestive system and abdomen), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. R19 carries an Excludes2 note covering P54.0: “newborn gastrointestinal hemorrhage (P54.0-P54.3)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| P54.0Neonatal hematemesis | R19Other symptoms and signs involving the digestive system and abdomen | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Neonatal hematemesis is a billable ICD-10-CM diagnosis code (P54.0). | Other symptoms and signs involving the digestive system and abdomen is a non-billable ICD-10-CM category code (R19). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources