Is P54.4 a billable ICD-10-CM code?

Yes. P54.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P54.4 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 P54.4?

P54.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P54.4 (P54) and apply to it just the same.

P54.4

P54.4 — Neonatal adrenal hemorrhage

Billable / specific codeICD-10-CM

P54.4 is a billable, specific ICD-10-CM code for neonatal adrenal hemorrhage. It is valid for submission on a claim.

Excludes1 inherited from the categories above P54.4

These are not written on P54.4, but they bind it: a note on a category applies to every code beneath it. Billing P54.4 with anything listed here is a denial.

Written on P54 — Other neonatal hemorrhages

newborn affected by (intrauterine) blood loss (P50.-)
pulmonary hemorrhage originating in the perinatal period (P26.-)

Risk adjustment

P54.4 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 P54.4 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 P54.4.

Hemorrhage, hemorrhagic›adrenal›newborn
Hemorrhage, hemorrhagic›suprarenal›newborn

Code history

P54.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share P54. If P54.4 is not quite right, the correct code is usually one of these.

Questions about P54.4

Is P54.4 a billable ICD-10-CM code?: Yes. P54.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P54.4 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 P54.4?: P54.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P54.4 (P54) and apply to it just the same.