Excludes1 pair
P10- vs P52.9
P10 and P52.9 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on P10
intracranial hemorrhage of newborn NOS (P52.9)
P10
Intracranial laceration and hemorrhage due to birth injury
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P10-P15
P52.9
Intracranial (nontraumatic) hemorrhage of newborn, unspecified
BillableUnspecified
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P50-P61
Indexed under
- Hemorrhage, hemorrhagic › intracranial › newborn
- Newborn › affected by › hemorrhage › intracranial (nontraumatic)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027