Is ICD-10-CM code P59 billable?

No, P59 (Neonatal jaundice from other and unspecified causes) 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 P59 belong to?

P59 belongs to Chapter 16 of the ICD-10-CM tabular list: P00–P96 (Certain Conditions Originating in the Perinatal Period).

P59Not billable, use a more specific code below

Neonatal jaundice from other and unspecified causes

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

7 billable codes under P59: 3 are an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

jaundice due to inborn errors of metabolism (E70-E88)
kernicterus (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 P59.

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 P59

P59 can't be used on a claim. Pick a billable code below; grey headings group them.

P59 MS-DRGs

As the principal diagnosis, the billable codes under P59 group to MS-DRG 791, 793, 795, or 794 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 791 Prematurity with Major Problems (3 of 7 codes)
DRG 793 Full Term Neonate with Major Problems (3 of 7 codes)
DRG 795 Normal Newborn (3 of 7 codes)
DRG 794 Neonate with Other Significant Problems (1 of 7 codes)

Other codes that refer to P59

Notes on these codes point to P59.

K72 Excludes1: icterus of newborn (P55-P59)
K76.82 Code Also: icterus of newborn (P55-P59)
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.

Code history

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