ICD-10-CM Codes
P00-P96 Certain conditions originating in the perinatal period
P50-P61 Hemorrhagic and hematological disorders of newborn
P54- Other neonatal hemorrhages
2021 ICD-10-CM Diagnosis Code P54.1

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
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
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
Applicable To
- Abnormal stool color
- Bulky stools
- Mucus in stools
- Occult blood in feces
- Occult blood in stools
Type 1 Excludes
- melena (K92.1)
- neonatal melena (P54.1)

Diagnosis Index entries containing back-references to P54.1:

Melena K92.1
ICD-10-CM Diagnosis Code K92.1
Melena
Type 1 Excludes
occult blood in feces (R19.5)
- newborn, neonatal P54.1

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.

2021 ICD-10-CM Diagnosis Code P54.1

Neonatal melena

Neonatal hematemesis and melena due to swallowed maternal blood

Certain conditions originating in the perinatal period

Hemorrhagic and hematological disorders of newborn

Other neonatal hemorrhages

Other fecal abnormalities

Melena