Is ICD-10-CM code P58 billable?

No, P58 (Neonatal jaundice due to other excessive hemolysis) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code P58 belong to?

P58 belongs to Chapter 16 of the ICD-10-CM tabular list: P00–P96 (Certain Conditions Originating in the Perinatal Period).

P58Not billable, use a more specific code below

Neonatal jaundice due to other excessive hemolysis

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

9 billable codes under P58: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

jaundice due to isoimmunization (P55-P57)

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 P58.

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.

General Perinatal Rules (page 71)
Observation and Evaluation of Newborns for Suspected Conditions not Found (page 73)
Coding Additional Perinatal Diagnoses (page 73)
Prematurity and Fetal Growth Retardation (page 73)
Low birth weight and immaturity status (page 74)
Bacterial Sepsis of Newborn (page 74)
Stillbirth (page 74)
COVID-19 Infection in Newborn (page 74)

Read Section I.C.16 (page 71)

All codes under P58

P58 can't be used on a claim. Pick a billable code below; grey headings group them.

P58 MS-DRG

As the principal diagnosis, all 9 billable codes under P58 group to MS-DRG 794 (v44.0).

DRG 794 Neonate with Other Significant Problems

About the condition

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

Blood Disorders

Your blood is living tissue made up of liquid and solids. The liquid part, called plasma, is made of water, salts and protein. Over half of your blood is plasma. The solid part of your blood contains red blood cells, white blood cells and platelets.

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.

Code history

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