P54 ICD-10-CM Code: Other neonatal hemorrhages
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 7 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P54 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on P54 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).
- newborn affected by (intrauterine) blood loss (P50.-) Compare P54 vs P50 →
- pulmonary hemorrhage originating in the perinatal period (P26.-) Compare P54 vs P26 →
- congenital stenosis and stricture of bile ducts (Q44.3) inherited from P50-P61Compare P54 vs Q44.3 →
- Crigler-Najjar syndrome (E80.5) inherited from P50-P61Compare P54 vs E80.5 →
- Dubin-Johnson syndrome (E80.6) inherited from P50-P61Compare P54 vs E80.6 →
- Gilbert syndrome (E80.4) inherited from P50-P61Compare P54 vs E80.4 →
- hereditary hemolytic anemias (D55-D58) inherited from P50-P61Compare P54 vs D55 →
Coder workflow for P54
MedCoder structured workflow — derived from this code’s own official record
Before you code P54
- P54 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).
ReviewP54.0, P54.1, P54.2, P54.3, P54.4, P54.5, P54.6, P54.8, P54.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on P54; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with P54. 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 P54?
Yes → Select that code and continue the checks below on its own page.
No → P54 cannot be reported as written; query for the specificity its subcategory needs.ReviewP54.0, P54.1, P54.2, P54.3, P54.4, P54.5, P54.6, P54.8, P54.9
- Does the documentation support a condition named in P54’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.
Consider P54. Then confirm the code is valid for the date of service in the Verify section.
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).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting P54(7 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with P54: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareP50, P26, 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 P54 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.
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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name P54 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 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 P54 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 P54 with these 16 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-fy2026
- P50-P61 — Hemorrhagic and hematological disorders of newborn[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1 (10)
- D55 — Anemia due to enzyme disorders[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D56 — Thalassemia[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D57 — Sickle-cell disorders[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D58 — Other hereditary hemolytic anemias[Excludes1]: “hereditary hemolytic anemias (D55-D58)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E80.4 — Gilbert syndrome[Excludes1]: “Gilbert syndrome (E80.4)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E80.5 — Crigler-Najjar syndrome[Excludes1]: “Crigler-Najjar syndrome (E80.5)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E80.6 — Other disorders of bilirubin metabolism[Excludes1]: “Dubin-Johnson syndrome (E80.6)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- P26 — Pulmonary hemorrhage originating in the perinatal period[Excludes1]: “pulmonary hemorrhage originating in the perinatal period (P26.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 2 more
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-fy2026
- 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-fy2026
- R71 — Abnormality of red blood cells[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R73 — Elevated blood glucose level[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R74 — Abnormal serum enzyme levels[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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-fy2026
- R76 — Other abnormal immunological findings in serum[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R77 — Other abnormalities of plasma proteins[Excludes2]: “hemorrhagic and hematological disorders of newborn (P50-P61)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 2 more
Nearest codes (9)
- P54.0 — Neonatal hematemesis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.1 — Neonatal melena[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.2 — Neonatal rectal hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.3 — Other neonatal gastrointestinal hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.4 — Neonatal adrenal hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.5 — Neonatal cutaneous hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.6 — Neonatal vaginal hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P54.8 — Other specified neonatal hemorrhages[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 1 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can P54 be billed directly?
No. P54 (Other neonatal hemorrhages) 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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 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 structured 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 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.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
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. "P54 — Other neonatal hemorrhages." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/p54-other-neonatal-hemorrhages
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther neonatal hemorrhages
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 P54 in its code family, with their registry titles.
- P54.0 — Neonatal hematemesis
- P54.1 — Neonatal melena
- P54.2 — Neonatal rectal hemorrhage
- P54.3 — Other neonatal gastrointestinal hemorrhage
- P54.4 — Neonatal adrenal hemorrhage
- P54.5 — Neonatal cutaneous hemorrhage
- P54.6 — Neonatal vaginal hemorrhage
- P54.8 — Other specified neonatal hemorrhages
- P54.9 — Neonatal hemorrhage, unspecified