P57Not billable, use a more specific code below

Kernicterus

In Hemorrhagic and hematological disorders of newborn (P50-P61), chapter 16: Certain Conditions Originating in the Perinatal Period

3 billable codes under P57: all are an MCC; all map to HCC 192 (Cerebral Palsy, Except Quadriplegic).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Also applies, from Hemorrhagic and hematological disorders of newborn (P50-P61)

These notes sit on P50-P61 and apply to every code under it, including P57.

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)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Coding of conditions that originate from before birth through the 28th day after birth, including newborn record rules, prematurity, low birth weight, sepsis, and stillbirth.

Read Section I.C.16 (page 71)

All codes under P57

P57 can't be used on a claim. Pick a billable code below; grey headings group them.

P57 MS-DRGs

As the principal diagnosis, all 3 billable codes under P57 group to MS-DRG 791 or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to P57

Notes on these codes point to P57.

  • P58 Excludes1: jaundice due to isoimmunization (P55-P57)
  • P59 Excludes1: kernicterus (P57.-)
  • P91.811 Code First: kernicterus (P57.-)
  • R17 Excludes1: neonatal jaundice (P55, P57-P59)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Jaundice

Jaundice causes your skin and the whites of your eyes to turn yellow. Too much bilirubin causes jaundice. Bilirubin is a yellow chemical in hemoglobin, the substance that carries oxygen in your red blood cells. As red blood cells break down, your body builds new cells to replace them. The old ones are processed by the liver. If the liver cannot handle the blood cells as they break down, bilirubin builds up in the body and your skin may look yellow.

Read more about jaundice on MedlinePlus

Uncommon Infant and Newborn Problems

It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.

Read more about uncommon infant and newborn problems on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.