2027 ICD-10-CM Diagnosis Code P54.4Neonatal adrenal hemorrhage
ICD-10-CM Codes›P00–P96›P50-P61›P54
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
P54.4 is a billable ICD-10-CM diagnosis code for neonatal adrenal hemorrhage. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 44 closely related codes. Coders also document this condition as adrenal gland hematoma. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hemorrhagic and hematologic disorders of newborn.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Adrenal gland hematoma
- Adrenal hemorrhage
- Adrenocortical hemorrhage
- Hemorrhage of adrenal gland due to birth trauma
- Injury to abdominal organ due to birth trauma
- Neonatal adrenal hemorrhage
- Perinatal adrenal hemorrhage
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to P54.4: its own notes plus those printed at P54, block P50-P61, and Chapter 16. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Codes from this chapter are for use on newborn records only, never on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name P54.4, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming P54.4: its condition is not part of those codes, and both may be reported when the patient has both.
- Block R70-R79 Abnormal findings on examination of blood, without diagnosis
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Adrenal Gland Disorders
Your adrenal glands are two small organs that sit on top of each kidney. The adrenal glands make different types of hormones you need to stay alive and healthy. Hormones are chemicals that travel in your bloodstream and control how different parts of your body work.
The full article covers:
- What are adrenal glands?
- What are adrenal gland disorders?
- What causes adrenal gland disorders?
- How are adrenal gland disorders diagnosed?
- What are the treatments for adrenal gland disorders?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert P54.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About P54.4Overview
What is the ICD-10 code for neonatal adrenal hemorrhage?
The ICD-10-CM code for neonatal adrenal hemorrhage is P54.4 (sometimes written as P544). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is P54.4 (Other neonatal hemorrhages) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report neonatal adrenal hemorrhage on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does P54.4 group to?
When neonatal adrenal hemorrhage is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, with relative weights from 4.1073 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Is P54.4 a CC or MCC?
CMS lists P54.4 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 44 closely related codes in its exclusion list.
Can P54.4 be reported with a code from P50?
Not as a rule. The Excludes1 note at P54, which applies to P54.4, lists "newborn affected by (intrauterine) blood loss (P50.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
