2021 ICD-10-CM Diagnosis Code P54.1

Neonatal melena

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P54.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM P54.1 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P54.1 - other international versions of ICD-10 P54.1 may differ.
ICD-10-CM Coding Rules
  • P54.1 should be used on the newborn record - not on the maternal record.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P54.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • neonatal melena due to swallowed maternal blood (
    ICD-10-CM Diagnosis Code P78.2

    Neonatal hematemesis and melena due to swallowed maternal blood

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
    P78.2
    )
The following code(s) above P54.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P54.1:
  • P00-P96
    2021 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • tetanus neonatorum (A33)
    Certain conditions originating in the perinatal period
  • P50-P61
    2021 ICD-10-CM Range P50-P61

    Hemorrhagic and hematological disorders of newborn

    Type 1 Excludes
    • congenital stenosis and stricture of bile ducts (Q44.3)
    • Crigler-Najjar syndrome (E80.5)
    • Dubin-Johnson syndrome (E80.6)
    • Gilbert syndrome (E80.4)
    • hereditary hemolytic anemias (D55-D58)
    Hemorrhagic and hematological disorders of newborn
  • P54
    ICD-10-CM Diagnosis Code P54

    Other neonatal hemorrhages

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • newborn affected by (intrauterine) blood loss (P50.-)
    • pulmonary hemorrhage originating in the perinatal period (P26.-)
    Other neonatal hemorrhages
ICD-10-CM P54.1 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P54.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to P54.1:
  • Type 1 Excludes: R19.5
    ICD-10-CM Diagnosis Code R19.5

    Other fecal abnormalities

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Abnormal stool color
    • Bulky stools
    • Mucus in stools
    • Occult blood in feces
    • Occult blood in stools
    Type 1 Excludes

Diagnosis Index entries containing back-references to P54.1:
  • Melena K92.1
    ICD-10-CM Diagnosis Code K92.1

    Melena

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • occult blood in feces (R19.5)

ICD-10-CM Codes Adjacent To P54.1
P52.22 Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
P52.3 Unspecified intraventricular (nontraumatic) hemorrhage of newborn
P52.4 Intracerebral (nontraumatic) hemorrhage of newborn
P52.5 Subarachnoid (nontraumatic) hemorrhage of newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
P52.8 Other intracranial (nontraumatic) hemorrhages of newborn
P52.9 Intracranial (nontraumatic) hemorrhage of newborn, unspecified
P53 Hemorrhagic disease of newborn
P54 Other neonatal hemorrhages
P54.0 Neonatal hematemesis
P54.1 Neonatal melena
P54.2 Neonatal rectal hemorrhage
P54.3 Other neonatal gastrointestinal hemorrhage
P54.4 Neonatal adrenal hemorrhage
P54.5 Neonatal cutaneous hemorrhage
P54.6 Neonatal vaginal hemorrhage
P54.8 Other specified neonatal hemorrhages
P54.9 Neonatal hemorrhage, unspecified
P55 Hemolytic disease of newborn
P55.0 Rh isoimmunization of newborn
P55.1 ABO isoimmunization of newborn

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.