P54.3 vs P78
P54.3 and P78 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on P78
neonatal gastrointestinal hemorrhages (P54.0-P54.3)
P54.3
Other neonatal gastrointestinal hemorrhage
Billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P50-P61
Indexed under
- Hemorrhage, hemorrhagic › bowel › newborn (concealed)
- Hemorrhage, hemorrhagic › gastroenteric › newborn (concealed)
- Hemorrhage, hemorrhagic › gastrointestinal › newborn (concealed)
- Hemorrhage, hemorrhagic › intestine › newborn (concealed)
- Hemorrhage, hemorrhagic › stomach › newborn (concealed)
P78
Other perinatal digestive system disorders
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P76-P78
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