P50 ICD-10-CM Code: Newborn affected by intrauterine (fetal) blood loss
Compare with another code for P50Check this code on a claim
Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.
Coding at a Glance
- Tabular directives
- 6 Excludes1
Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
Where it sits Source: CMS/NCHS
Under:Chapter 16: Certain Conditions Originating in the Perinatal PeriodP50-P61 Hemorrhagic and hematological disorders of newborn
Codes under P50 (8)
- P50.0Newborn affected by intrauterine (fetal) blood loss from vasa previaBillable
- P50.1Newborn affected by intrauterine (fetal) blood loss from ruptured cordBillable
- P50.2Newborn affected by intrauterine (fetal) blood loss from placentaBillable
- P50.3Newborn affected by hemorrhage into co-twinBillable
- P50.4Newborn affected by hemorrhage into maternal circulationBillable
- P50.5Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cordBillable
- P50.8Newborn affected by other intrauterine (fetal) blood lossBillable
- P50.9Newborn affected by intrauterine (fetal) blood loss, unspecifiedBillable
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P50 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on P50 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- congenital anemia from intrauterine (fetal) blood loss (P61.3) Compare P50 vs P61.3 →
- congenital stenosis and stricture of bile ducts (Q44.3) inherited from P50-P61Compare P50 vs Q44.3 →
- Crigler-Najjar syndrome (E80.5) inherited from P50-P61Compare P50 vs E80.5 →
- Dubin-Johnson syndrome (E80.6) inherited from P50-P61Compare P50 vs E80.6 →
- Gilbert syndrome (E80.4) inherited from P50-P61Compare P50 vs E80.4 →
- hereditary hemolytic anemias (D55-D58) inherited from P50-P61Compare P50 vs D55 →
Coder workflow for P50
MedCoder structured workflow — derived from this code’s own official record
Before you code P50
- P50 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewP50.0, P50.1, P50.2, P50.3, P50.4, P50.5, P50.8, P50.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with the code beneath P50. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath P50?
Yes → Select that code and continue the checks below on its own page.
No → P50 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.ReviewP50.0, P50.1, P50.2, P50.3, P50.4, P50.5, P50.8, P50.9
- Does the documentation support a condition named in P50’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Report the code beneath P50 that the documentation supports, not P50 itself. Then confirm that code is valid for the date of service on its own page.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting P50(6 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with P50: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareP61.3, Q44.3, E80.5, E80.6, E80.4
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition P50 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name P50 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: P54 — Other neonatal hemorrhages.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 10 Excludes2 notes: R70 — Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity, R70-R79 — Abnormal findings on examination of blood, without diagnosis (R70-R79), R71 — Abnormality of red blood cells, R73 — Elevated blood glucose level, R74 — Abnormal serum enzyme levels, R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV], R76 — Other abnormal immunological findings in serum, R77 — Other abnormalities of plasma proteins, R78 — Findings of drugs and other substances, not normally found in blood, R79 — Other abnormal findings of blood chemistry.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of P50 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run P50 with these 17 related codes in Claim Check
Hierarchy
- P00-P96 — Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) (P00-P96)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50-P61 — Hemorrhagic and hematological disorders of newborn[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Excludes1 (9)
- D55 — Anemia due to enzyme disorders[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- D56 — Thalassemia[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- D57 — Sickle-cell disorders[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- D58 — Other hereditary hemolytic anemias[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E80.4 — Gilbert syndrome[Excludes1]: “Gilbert syndrome (E80.4)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E80.5 — Crigler-Najjar syndrome[Excludes1]: “Crigler-Najjar syndrome (E80.5)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E80.6 — Other disorders of bilirubin metabolism[Excludes1]: “Dubin-Johnson syndrome (E80.6)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- P61.3 — Congenital anemia from fetal blood loss[Excludes1]: “congenital anemia from intrauterine (fetal) blood loss (P61.3)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 1 more
Referenced by Excludes1 notes
- P54 — Other neonatal hemorrhages[Excludes1]: “newborn affected by (intrauterine) blood loss (P50.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes (10)
- R70 — Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R70-R79 — Abnormal findings on examination of blood, without diagnosis (R70-R79)[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R71 — Abnormality of red blood cells[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R73 — Elevated blood glucose level[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R74 — Abnormal serum enzyme levels[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV][Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R76 — Other abnormal immunological findings in serum[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- R77 — Other abnormalities of plasma proteins[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 2 more
Nearest codes
- P50.0 — Newborn affected by intrauterine (fetal) blood loss from vasa previa[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.1 — Newborn affected by intrauterine (fetal) blood loss from ruptured cord[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.2 — Newborn affected by intrauterine (fetal) blood loss from placenta[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.3 — Newborn affected by hemorrhage into co-twin[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.4 — Newborn affected by hemorrhage into maternal circulation[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.5 — Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cord[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.8 — Newborn affected by other intrauterine (fetal) blood loss[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- P50.9 — Newborn affected by intrauterine (fetal) blood loss, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Common coding questions
MedCoder editorial
Can P50 be billed directly?
No. P50 (Newborn affected by intrauterine (fetal) blood loss) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "P50 — Newborn affected by intrauterine (fetal) blood loss." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/p50-newborn-affected-by-intrauterine-fetal-blood-loss
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionNewborn affected by intrauterine (fetal) blood loss
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to P50 in its code family, with their registry titles.
- P50.0 — Newborn affected by intrauterine (fetal) blood loss from vasa previa
- P50.1 — Newborn affected by intrauterine (fetal) blood loss from ruptured cord
- P50.2 — Newborn affected by intrauterine (fetal) blood loss from placenta
- P50.3 — Newborn affected by hemorrhage into co-twin
- P50.4 — Newborn affected by hemorrhage into maternal circulation
- P50.5 — Newborn affected by intrauterine (fetal) blood loss from cut end of co-twin's cord
- P50.8 — Newborn affected by other intrauterine (fetal) blood loss
- P50.9 — Newborn affected by intrauterine (fetal) blood loss, unspecified