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P54.0

P54.0Neonatal hematemesis

Billable / specific codeICD-10-CM

P54.0 is a billable, specific ICD-10-CM code for neonatal hematemesis. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • neonatal hematemesis due to swallowed maternal blood (P78.2)

Other codes that can never be billed with P54.0

These codes carry an Excludes1 note pointing at P54.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P54.0 alone.

  • P78Other perinatal digestive system disorders
  • R11Nausea and vomiting
  • K92Other diseases of digestive system

Risk adjustment

P54.0 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 P54.0 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 P54.0.

  • Hematemesisnewborn, neonatal

Related codes at this level

Codes that share P54. If P54.0 is not quite right, the correct code is usually one of these.

Questions about P54.0

Is P54.0 a billable ICD-10-CM code?
Yes. P54.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P54.0 sit in the tabular list?
Certain conditions originating in the perinatal period (P00-P96), in the block Hemorrhagic and hematological disorders of newborn (P50-P61).
What cannot be coded together with P54.0?
P54.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.