ICD-10 P54
Non-Billable HeaderOther neonatal hemorrhages
About ICD-10-CM P54
ICD-10-CM code P54 represents Other neonatal hemorrhages. This is a non-billable header code in the Perinatal Period chapter (block P54). The 2026 edition of ICD-10-CM P54 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with P54. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- newborn affected by (intrauterine) blood loss (P50.-)
- pulmonary hemorrhage originating in the perinatal period (P26.-)
Medicare LCD Coverage for P54
Local Coverage Determinations (LCDs) from CMS MACs that list P54 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P54.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P54 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P54
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To P54
Other codes in section P50-P61 (Hemorrhagic and hematological disorders of newborn).
ICD-10 P54, Billing FAQ
Is ICD-10 code P54 billable? +
No, P54 is a non-billable header code. Use a more specific child code from block P54 when submitting claims.
What codes are Type 1 Excludes for P54? +
Type 1 Excludes (never code together with P54): newborn affected by (intrauterine) blood loss (P50.-); pulmonary hemorrhage originating in the perinatal period (P26.-)
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team