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P26 ICD-10-CM Code: Pulmonary hemorrhage originating in the perinatal period

P26 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)

P26

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Pulmonary hemorrhage originating in the perinatal period

Pulmonary hemorrhage originating in the perinatal period

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
P2Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)
P26Pulmonary hemorrhage originating in the perinatal period

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P26 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P26 in this effective period.

Related Child Codes

Official
P26.0Tracheobronchial hemorrhage originating in the perinatal period
P26.1Massive pulmonary hemorrhage originating in the perinatal period
P26.8Other pulmonary hemorrhages originating in the perinatal period
P26.9Unspecified pulmonary hemorrhage originating in the perinatal period

Includes

Official

ICD-10-CM does not list Includes notes for P26 in this effective period.

Excludes 1

Official
  • acute idiopathic hemorrhage in infants over 28 days old (R04.81)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P26 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P26 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P26 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
P26
Description
Pulmonary hemorrhage originating in the perinatal period
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

P26 is the ICD-10-CM diagnosis code for pulmonary hemorrhage originating in the perinatal period. P26 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering respiratory and cardiovascular disorders specific to the perinatal period (p19-p29).

Header codes like P26 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at P26's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P26 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • acute idiopathic hemorrhage in infants over 28 days old (R04.81)

Child Codes

Code Hierarchy

P26Pulmonary hemorrhage originating in the perinatal period
P26Pulmonary hemorrhage originating in the perinatal period

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