P55

Non-Billable
ChapterP00–P96
Rankcategory
Official Description

Hemolytic disease of newborn

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

CH16 Parent Instructions

Includes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes2(Not included here. Code separately if applicable.)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

P50-P61 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • congenital stenosis and stricture of bile ducts (Q44.3)
  • Crigler-Najjar syndrome (E80.5)
  • Dubin-Johnson syndrome (E80.6)
  • Gilbert syndrome (E80.4)
  • hereditary hemolytic anemias (D55-D58)

Clinical Hierarchy

BillableHas subcodes
CH16Certain conditions originating in the perinatal period (P00-P96)
P50-P61Hemorrhagic and hematological disorders of newborn (P50-P61)
P55Hemolytic disease of newbornNot billable
P55.0Rh isoimmunization of newbornBillable
P55.1ABO isoimmunization of newbornBillable
P55.8Other hemolytic diseases of newbornBillable
P55.9Hemolytic disease of newborn, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to P55:

blockP50-P61
Hemorrhagic and hematological disorders of newborn (P50-P61)
View context instructions
chapterCH16
Certain conditions originating in the perinatal period (P00-P96)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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