Other neonatal hemorrhages (P54) ICD-10-CM
The P54 code range covers other neonatal hemorrhages with 10 ICD-10-CM diagnosis codes. 9 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Codes in the P54 Range 10 codes · 9 billable
- P54 Other neonatal hemorrhagesNon-billable
- 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
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the P54 range.
Ecchymosis
Extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.
Exsanguination
Rapid and extreme blood loss leading to HEMORRHAGIC SHOCK.
Feces
Excrement from the INTESTINES, containing unabsorbed solids, waste products, secretions, and BACTERIA of the DIGESTIVE SYSTEM.
Gastrointestinal Hemorrhage
Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
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.
Hemopneumothorax
Collection of air and blood in the pleural cavity.
Hemothorax
Hemorrhage within the pleural cavity.
Melena
The black, tarry, foul-smelling FECES that contain degraded blood.
Upper Gastrointestinal Tract
The segment of GASTROINTESTINAL TRACT that includes the ESOPHAGUS; the STOMACH; and the DUODENUM.
About the P54 Code Range
ICD-10 code P54 and its subcodes classify various types of bleeding in newborns, collectively known as other neonatal hemorrhages. These codes specifically identify bleeding events such as vomiting blood, melena, rectal or vaginal hemorrhages, skin bruising, adrenal hemorrhage, and other less common bleeding sites in newborns.
The ICD-10 code for neonatal hematemesis (P54.0) covers conditions where newborns vomit blood, which may be described as neonatal gastrointestinal hemorrhage or perinatal hematemesis. Code P54.1 is used for neonatal melena, indicating blood present in stools, also called perinatal melena or occult blood detected in feces. P54.2 covers neonatal rectal hemorrhage, specifying bleeding from the rectum and anus in newborns. For other gastrointestinal bleeding sites in neonates, P54.3 is appropriate. Neonatal adrenal hemorrhage, which involves bleeding into the adrenal glands often caused by birth trauma, is coded as P54.4. The code P54.5 identifies bleeding into the skin, such as bruising or petechiae (cutaneous hemorrhage), while P54.6 refers to neonatal vaginal hemorrhage, describing transient bleeding in the vaginal area. P54.8 categorizes other specified hemorrhages in newborns affecting sites like the eyes, oral cavity, or abdominal organs. When the bleeding source cannot be specified, P54.9 is used to denote neonatal hemorrhage, unspecified.
These codes help healthcare professionals and coders precisely document the specific type and location of neonatal bleeding, ensuring accurate identification and subsequent care. Understanding terms like coffeeground vomiting, hematochezia, purpura, or subconjunctival hemorrhage in relation to these codes is essential for selecting the correct ICD-10 code for neonatal hemorrhage cases.
Questions About This Page
How many billable codes are in the P54 range?
Of the 10 codes in this range, 9 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the P54 range classify?
The range classifies other neonatal hemorrhages. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
