2026 ICD-10-CM Diagnosis Code P54.0Neonatal hematemesis

ICD-10-CM CodesP00–P96P50-P61P54

ICD-10-CM P54.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P54.0 is a billable ICD-10-CM diagnosis code for neonatal hematemesis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hemorrhagic and hematologic disorders of newborn.

Code Identity

ICD-10-CM Code
P54.0
Billable Status
Yes — Valid for Submission
Code Describes
Neonatal hematemesis
Short Description
Neonatal hematemesis
Same as the full description in the CMS dataset.
Parent Code
Other neonatal hemorrhages

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP50-P61Hemorrhagic and hematological disorders of newborn
CategoryP54Other neonatal hemorrhages
This CodeP54.0Neonatal hematemesis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Coffee ground vomiting
  • Hematemesis
  • Hematemesis of unknown cause
  • Neonatal gastrointestinal hemorrhage
  • Neonatal hematemesis
  • Occult blood detected in vomitus
  • Occult blood not detected in vomitus
  • Perinatal gastrointestinal hemorrhage
  • Perinatal hematemesis
  • Vomit contains blood
  • Vomit contains fresh blood
  • Vomit contains old blood
  • Vomiting blood - fresh

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • neonatal hematemesis due to swallowed maternal blood P78.2

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hematemesis
      • newborn, neonatal

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL011
Hemorrhagic and hematologic disorders of newborn
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hematemesis

    vomiting of blood that is either fresh bright red, or older coffee-ground in character. it generally indicates bleeding of the upper gastrointestinal tract.
  • Upper Gastrointestinal Tract

    the segment of gastrointestinal tract that includes the esophagus; the stomach; and the duodenum.
  • Grade 1 Hematemesis, CTCAE

    mild symptoms; intervention not indicated
  • Grade 2 Hematemesis, CTCAE

    moderate symptoms; intervention indicated
  • Grade 3 Hematemesis, CTCAE

    hospitalization
  • Grade 4 Hematemesis, CTCAE

    life-threatening consequences; urgent intervention indicated
  • Grade 5 Hematemesis, CTCAE

    death
  • Hematemesis, CTCAE

    a disorder characterized by the vomiting of blood.
  • Hematemesis

    vomiting blood.

Patient EducationClinical

Gastrointestinal Bleeding

Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine or colon, rectum, and anus. Bleeding can come from any of these areas. The amount of bleeding can be so small that only a lab test can find it.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P54.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
772.8 Neonatal hemorrhage NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P54.0Overview

Is P54.0 (Other neonatal hemorrhages) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report neonatal hematemesis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P54.0?

Under the General Equivalence Mappings, neonatal hematemesis converts to ICD-9-CM 772.8 (neonatal hemorrhage NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.