P50-P54
Medium Complexity

Hemorrhagic and hematological disorders of newborn

Primary Specialty: Neonatology
Last Updated: 2025-09-09

ICD-10 Codes (27)

27 billable
0 category headers
P51
Billable
Umbilical hemorrhage of newborn
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P51.0
Billable
Massive umbilical hemorrhage of newborn
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P51.8
Billable
Other umbilical hemorrhages of newborn
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P51.9
Billable
Umbilical hemorrhage of newborn, unspecified
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P52
Billable
Intracranial nontraumatic hemorrhage of newborn
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P52.0
Billable
Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn
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P52.1
Billable
Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn
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P52.2
Billable
Intraventricular (nontraumatic) hemorrhage, grade 3 and grade 4, of newborn
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P52.21
Billable
Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
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P52.22
Billable
Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
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P52.3
Billable
Unspecified intraventricular (nontraumatic) hemorrhage of newborn
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P52.4
Billable
Intracerebral (nontraumatic) hemorrhage of newborn
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P52.5
Billable
Subarachnoid (nontraumatic) hemorrhage of newborn
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P52.6
Billable
Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
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P52.8
Billable
Other intracranial (nontraumatic) hemorrhages of newborn
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P52.9
Billable
Intracranial (nontraumatic) hemorrhage of newborn, unspecified
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P53
Billable
Hemorrhagic disease of newborn
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P54
Billable
Other neonatal hemorrhages
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P54.0
Billable
Neonatal hematemesis
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P54.1
Billable
Neonatal melena
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P54.2
Billable
Neonatal rectal hemorrhage
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P54.3
Billable
Other neonatal gastrointestinal hemorrhage
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P54.4
Billable
Neonatal adrenal hemorrhage
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P54.5
Billable
Neonatal cutaneous hemorrhage
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P54.6
Billable
Neonatal vaginal hemorrhage
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P54.8
Billable
Other specified neonatal hemorrhages
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P54.9
Billable
Neonatal hemorrhage, unspecified
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

P04.49
Newborn affected by maternal use of other drugs of addiction

Revised Codes (1)

P04.17
Newborn affected by maternal use of cocaine - updated neonatal abstinence syndrome correlation

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • FY 2025: Routine maintenance updates with minor terminology clarifications
  • FY 2024: Enhanced specificity requirements for certain code ranges
  • FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • Proposed updates pending review by Coordination and Maintenance Committee
  • Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • Review all FY 2026 updates for P50-P54 codes before implementation
  • Always verify the most current codes in the ICD-10-CM manual
  • Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 code range P50-P54 pertains to hemorrhagic and hematological disorders of the newborn. These codes are used to document conditions such as neonatal cutaneous hemorrhage, neonatal hematoma, and disorders of coagulation, among others. The codes are utilized in a variety of clinical settings, including neonatology, pediatrics, and hematology, and are essential for accurate medical documentation and billing.

Key Usage Points:

  • P50-P54 codes are used for newborns, not for older infants or children.
  • Always code for the most specific condition possible within this range.
  • The codes can be used in conjunction with other codes to provide a comprehensive clinical picture.
  • The codes include both congenital and acquired conditions.
  • Always check for any applicable Excludes1 or Excludes2 notes.

Coding Guidelines

When to Use:

  • When a newborn presents with a hematological disorder.
  • When a newborn has a hemorrhagic condition.
  • When a newborn has a coagulation disorder.
  • When a newborn has a hematoma.
  • When a newborn has a cutaneous hemorrhage.

When NOT to Use:

  • When the patient is not a newborn.
  • When the condition is not a hematological or hemorrhagic disorder.
  • When the condition is better described by another code.
  • When the condition is a symptom of another, more specific condition.
  • When the condition is a complication of a procedure.

Code Exclusions

Always verify exclusions using the ICD-10-CM Official Guidelines for Coding and Reporting.

Documentation Requirements

Documentation for P50-P54 codes should be comprehensive, including the specific condition, its severity, and any related complications. The documentation should also include the newborn's age and any relevant clinical findings.

Clinical Information:

  • Specific condition
  • Severity of the condition
  • Related complications
  • Newborn's age
  • Clinical findings

Supporting Evidence:

  • Lab results
  • Clinical notes
  • Imaging results
  • Consultation notes
Good Documentation Example:

Newborn, age 2 days, diagnosed with severe neonatal cutaneous hemorrhage. Lab results confirm diagnosis.

Poor Documentation Example:

Newborn with bleeding.

Common Documentation Errors:

  • Not specifying the condition
  • Not including the newborn's age
  • Not documenting the severity of the condition
  • Not including relevant clinical findings

Range Statistics

12
Total Codes
27
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:16

Coding Complexity

Medium
Complexity Rating

Coding for P50-P54 codes is of medium complexity due to the need to accurately identify the specific condition, its severity, any related complications, the newborn's age, and interpret clinical findings. Coders need to have a good understanding of neonatal hematological and hemorrhagic disorders to accurately code within this range.

Key Factors:
  • Determining the specific condition
  • Determining the severity of the condition
  • Identifying any related complications
  • Identifying the newborn's age
  • Interpreting clinical findings

Specialty Focus

P50-P54 codes are primarily used in neonatology, pediatrics, and hematology. They are essential for accurately documenting and billing for hematological and hemorrhagic disorders in newborns.

Primary Specialties:
Neonatology
60%
Pediatrics
30%
Hematology
10%
Clinical Scenarios:
  • Newborn with neonatal cutaneous hemorrhage
  • Newborn with neonatal hematoma
  • Newborn with disorder of coagulation
  • Newborn with congenital hemorrhagic disorder
  • Newborn with acquired hemorrhagic disorder

Resources & References

Resources for P50-P54 codes include the ICD-10-CM Official Guidelines for Coding and Reporting, clinical reference materials, and educational resources on neonatal hematological and hemorrhagic disorders.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • World Health Organization's ICD-10 Browser
  • Centers for Disease Control and Prevention's ICD-10-CM Official Coding and Reporting Guidelines

Clinical References:

  • American Academy of Pediatrics' Red Book
  • National Institute of Child Health and Human Development's resources on neonatal disorders

Educational Materials:

  • American Health Information Management Association's coding resources
  • American Academy of Professional Coders' coding resources

Frequently Asked Questions

Can P50-P54 codes be used for older infants and children?

No, P50-P54 codes are specifically for newborns. Other codes should be used for older infants and children.