P38.1 — Omphalitis with mild hemorrhage
P38.1 is a billable, specific ICD-10-CM code for omphalitis with mild hemorrhage. It is valid for submission on a claim.
Other codes that can never be billed with P38.1
These codes carry an Excludes1 note pointing at P38.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P38.1 alone.
- P51Umbilical hemorrhage of newborn
Risk adjustment
P38.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How P38.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P38.1.
- Omphalitis›with mild hemorrhage
- Newborn›omphalitis›with mild hemorrhage
- Abscess›navel›newborn›with mild hemorrhage
- Cellulitis›navel›newborn›with mild hemorrhage
Related codes at this level
Codes that share P38. If P38.1 is not quite right, the correct code is usually one of these.
Questions about P38.1
- Is P38.1 a billable ICD-10-CM code?
- Yes. P38.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P38.1 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Infections specific to the perinatal period (P35-P39).