Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesHemorrhagic and hematological disorders of newbornICD-10-CM p54-other-neonatal-hemorrhages
    Ask Trek AI about this page

    ICD-10-CM Code For Other Neonatal Hemorrhages: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group P54 includes hemorrhagic conditions of the newborn not classified elsewhere, such as superficial or unspecified neonatal bleeding events and other nonintracranial neonatal hemorrhages. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving neonatal bleeding of varying severity, body sites, or etiologies that require perinatal or neonatal care. Accurate coding within the ICD-10-CM P54 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Other Neonatal Hemorrhages: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM P54: Other Neonatal Hemorrhages Overview

    The ICD-10-CM P54 group represents hemorrhagic conditions occurring in the newborn period that do not fall under specific intracranial or placental hemorrhage categories. These diagnoses target bleeding events in neonates affecting various tissues or body sites related to the perinatal period. Accurate coding matters because it documents clinical complexity and supports appropriate claim adjudication and hospital reporting.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a newborn presents with a hemorrhagic condition that is identified as other neonatal hemorrhage and is not better classified elsewhere in the classification. Codes from this group are applied when clinical documentation indicates neonatal bleeding of nonintracranial sites or when the hemorrhage is unspecified but occurs in the newborn period.

    ICD-10-CM Codes

    9 rows

    ICD-10-CM CodeDescription
    P54.0Neonatal hematemesis
    P54.1Neonatal melena
    P54.2Neonatal rectal hemorrhage
    P54.3Other neonatal gastrointestinal hemorrhage
    P54.4Neonatal adrenal hemorrhage
    P54.5Neonatal cutaneous hemorrhage
    P54.6Neonatal vaginal hemorrhage
    P54.8Other specified neonatal hemorrhages
    P54.9Neonatal hemorrhage, unspecified

    DRG Codes

    4 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    794Neonate with Other Significant Problems
    795Normal Newborn

    Typical Clinical Scenarios

    • A term newborn develops progressive pallor and tachycardia within the first 24 hours after a difficult vacuum-assisted vaginal delivery; scalp swelling and cephalohematoma are noted on exam and a head ultrasound confirms subgaleal bleeding with significant blood loss. The infant is brought to the neonatal intensive care unit for stabilization, transfusion, and monitoring for hemodynamic compromise; a diagnosis from this group is assigned to capture neonatal extracranial hemorrhage related to birth trauma. Typical codes: P54.3, P54.6
    • A preterm infant in the NICU on multiple invasive procedures (umbilical line placement and frequent heel sticks) develops diffuse petechiae, mucosal oozing, and a falling hematocrit over several days without a clear single-site bleed. Hematology evaluation suggests a hemorrhagic disorder of the newborn due to prematurity-related coagulopathy and procedural blood loss; a group code is used to document generalized neonatal hemorrhages and guide tracking of bleeding complications. Typical codes: P54.2, P54.1
    • A neonate presents after emergency cesarean section for placental abruption with seizures and apnea; cranial imaging demonstrates intracerebral hemorrhage and intraventricular extension causing hydrocephalus. The infant requires neurosurgical consultation and prolonged hospitalization for management of intracranial bleeding as a complication of perinatal hypoxia-ischemia and delivery-related vascular injury; an intracranial neonatal hemorrhage code from this group is assigned. Typical codes: P54.0, P54.4

    Related Codes

    P50-NEWBORN-AFFECTED-BY-INTRAUTERINE-BLOOD-LOSS

    ICD-10-CM Code For Newborn Affected By Intrauterine Blood Loss: Group Overview

    P51-UMBILICAL-HEMORRHAGE-OF-NEWBORN

    ICD-10-CM Code For Umbilical Hemorrhage Of Newborn: Group Overview

    P52-INTRACRANIAL-HEMORRHAGE-NEWBORN

    ICD-10-CM Code For Intracranial Nontraumatic Hemorrhage Of Newborn: Group Overview

    P53-HEMORRHAGIC-DISEASE-OF-NEWBORN

    ICD-10-CM Code For Hemorrhagic Disease Of Newborn: Group Overview

    P56-HYDROPS-FETALIS-DUE-TO-HEMOLYTIC-DISEASE

    ICD-10-CM Code For Hydrops Fetalis Due To Hemolytic Disease: Group Overview

    P57-KERNICTERUS-AND-NEONATAL-JAUNDICE

    ICD-10-CM Code For Kernicterus: Group Overview

    P59-NEONATAL-JAUNDICE-OTHER-UNSPECIFIED

    ICD-10-CM Code For Neonatal Jaundice From Other And Unspecified Causes: Group Overview

    P60-DISSEMINATED-INTRAVASCULAR-COAGULATION-NEWBORN

    ICD-10-CM Code For Disseminated Intravascular Coagulation Of Newborn: Group Overview

    P61-OTHER-PERINATAL-HEMATOLOGICAL-DISORDERS

    ICD-10-CM Code For Other Perinatal Hematological Disorders: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.