FY2027
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Excludes1 pair

P50- vs P61.3

P50 and P61.3 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 P50
congenital anemia from intrauterine (fetal) blood loss (P61.3)
P50

Newborn affected by intrauterine (fetal) blood loss

Not billable
Chapter 16
Certain conditions originating in the perinatal period
Section
P50-P61
P61.3

Congenital anemia from fetal blood loss

Billable
Chapter 16
Certain conditions originating in the perinatal period
Section
P50-P61
Indexed under
  • Posthemorrhagic anemia › newborn
  • Anemia › congenital › following fetal blood loss
  • Anemia › due to › fetal blood loss
  • Anemia › newborn › following fetal blood loss
  • Anemia › newborn › posthemorrhagic (fetal)

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