icd 10 code for hyperbilirubinemia in newborn

by Breana Hane 4 min read

Coding structure:

  • Icterus see also Jaundice newborn P59.9
  • Jaundice (yellow) R17 newborn P59.9 symptomatic R17 newborn P59.9
  • Newborn (infant) (liveborn) (singleton) Z38.2 hyperbilirubinemia P59.9 jaundice P59.9

Neonatal jaundice, unspecified
P59. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM P59. 9 became effective on October 1, 2021.

Full Answer

What is the ICD 10 code for hyperbilirubinemia?

Oct 01, 2021 · newborn P59.9 Newborn (infant) (liveborn) (singleton) Z38.2 hyperbilirubinemia P59.9 jaundice P59.9 Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

What is neonatal hyperbilirubinemia?

5 rows · Jul 13, 2021 · Hyperbilirubinemia in new born should be coded as newborn Jaundice (As per ICD-10 CM ...

What is the ICD 10 code for neonatal jaundice?

Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CPT codes covered if selection criteria are met: 36450: Exchange transfusion, blood; newborn: 82247: Bilirubin; total: 82248: direct

What is the ICD 10 code for newborns?

The ICD code P59 is used to code Neonatal jaundice. Neonatal jaundice or Neonatal hyperbilirubinemia, or Neonatal icterus (from the Greek word ἴκτερος), attributive adjective: icteric, is a yellowing of the skin and other tissues of a newborn infant. A bilirubin level of more than 85 μmol/l (5 mg/dL) leads to a jaundiced appearance in neonates whereas in adults a level of 34 …

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Is hyperbilirubinemia and jaundice the same?

Hyperbilirubinemia is a condition in which there is a build up of bilirubin in the blood, causing yellow discoloration of the eyes and skin, called jaundice.

What level is hyperbilirubinemia in newborn?

Neonatal hyperbilirubinemia, defined as a total serum bilirubin level above 5 mg per dL (86 μmol per L), is a frequently encountered problem. Although up to 60 percent of term newborns have clinical jaundice in the first week of life, few have significant underlying disease.Feb 15, 2002

What is the neonatal jaundice?

Jaundice in newborn babies is common and usually harmless. It causes yellowing of the skin and the whites of the eyes. The medical term for jaundice in babies is neonatal jaundice. Yellowing of the skin can be more difficult to see in brown or black skin.

What is the correct ICD-10 code for jaundice?

ICD-10 code R17 for Unspecified jaundice is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What are the 2 most common types of neonatal hyperbilirubinemia?

There are a few different types of jaundice in newborns.Physiological jaundice. The most common type of jaundice in newborns is physiological jaundice. ... Breastfeeding jaundice. Jaundice is more common in breastfed babies than formula-fed babies. ... Breast milk jaundice.Jan 17, 2022

What causes hyperbilirubinemia in newborns?

Infant jaundice usually occurs because a baby's liver isn't mature enough to get rid of bilirubin in the bloodstream. In some babies, an underlying disease may cause infant jaundice.Jan 6, 2022

What is conjugated and unconjugated bilirubin?

Some bilirubin is bound to a certain protein (albumin) in the blood. This type of bilirubin is called unconjugated, or indirect, bilirubin. In the liver, bilirubin is changed into a form that your body can get rid of. This is called conjugated bilirubin or direct bilirubin.

What are the 3 types of jaundice?

Types of JaundicePre-hepatic jaundice.Hepatic jaundice.Post-hepatic jaundice.Neonatal jaundice.Jul 30, 2018

Is neonatal jaundice conjugated or unconjugated bilirubin?

Jaundice is the most common condition that requires medical attention and hospital readmission in newborns. The yellow coloration of the skin and sclera in newborns with jaundice is the result of accumulation of unconjugated bilirubin.Dec 27, 2017

What is the ICD-10 code for Transaminitis?

R74.0ICD-10-CM Code for Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH] R74. 0.

What causes obstructive jaundice?

Any type of obstruction that blocks the flow of bile from the liver can cause obstructive jaundice. Most commonly, gallstones create the blockage. Other causes of obstruction include inflammation, tumors, trauma, pancreatic cancer, narrowing of the bile ducts, and structural abnormalities present at birth.

What is adult hyperbilirubinemia?

Hyperbilirubinemia is an excess accumulation of bilirubin, a brownish-yellow compound that is normally formed when red blood cells are broken down as part of their usual life cycle. Bilirubin is chemically altered by the liver into a form that can be safely excreted in stool and urine.Apr 15, 2021

Symptoms and Tests

Common symptoms of jaundice are yellow skin and white of eyes, dark coloured body fluids (urine and stool). If jaundice along with severe abdominal pain, blood vomit, blood in stool, change in mental function, fever or tendency to bleed easily are cause of concern.

Types of Jaundice

There are mainly 3 types of jaundice – Prehepatic, hepatic, posthepatic.

ICD 10 Codes for Jaundice and Coding guidelines

ICD 10 Codes for jaundice are located in different chapters in ICD book. ICD 10 Code for Neonatal jaundice are found in chapter 16 – conditions originating in perinatal period, code range P00 – P96

What is the name of the drug used for neonatal jaundice?

Aetna considers the use of metalloporphyrins (e.g., stannsopor fin (tin mesoporphyrin), Stanate, WellSpring Pharmaceutical Corporation, Neptune, NJ) for the treatment of neonatal jaundice experimental and investigational because their safety and effectiveness for this indication has not been established.

What is the Aetna recommended phototherapy for preterm infants?

Aetna considers management of physiologic hyperbilirubinemia medically necessary in preterm infants (defined as an infant born prior to 37 weeks gestation) according to guidelines published by the AAP. In preterm infants, phototherapy should be initiated at 50 to 70 % of the maximum indirect levels below:

Is glucose 6 phosphate dehydrogenase necessary for phototherapy?

Aetna considers measurement of glucose-6-phosphate dehydrogenase (G6PD) levels medically necessary for jaundiced infants who are receiving phototherapy, where response to phototherapy is poor, or where the infant is at an increased risk of G6PD deficiency due to family history, ethnic or geographic origin.

Can probiotics help with jaundice?

Chen and co-workers (2017) stated that probiotics supplementation therapy could assist to improve the recovery of neonatal jaundice, through enhancing immunity mainly by regulating bacterial colonies. However, there is limited evidence regarding the effect of probiotics on bilirubin level in neonates. These researchers systematically evaluated the safety and efficacy of probiotics supplement therapy for pathological neonatal jaundice. Databases including PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wan Fang Database (Wan Fang), Chinese Biomedical Literature Database (CBM), VIP Database for Chinese Technical Periodicals (VIP) were searched and the deadline was December 2016; RCTs of probiotics supplementation for pathological neonatal jaundice in publications were extracted by 2 reviewers. The Cochrane tool was applied to assessing the risk of bias of the trials. The extracted information of RCTs should include efficacy rate, serum total bilirubin level, time of jaundice fading, duration of phototherapy, duration of hospitalization, adverse reactions. The main outcomes of the trials were analyzed by Review Manager 5.3 software. The RR or MD with a 95 % CI was used to measure the effect. A total of 13 RCTs involving 1,067 neonatal with jaundice were included in the meta-analysis. Probiotics supplementation treatment showed efficacy [RR: 1.19, 95 % CI: 1.12 to 1.26), p < 0.00001] in neonatal jaundice. It not only decreased the total serum bilirubin level after 3 days [MD: -18.05, 95 % CI: -25.51 to -10.58), p < 0.00001], 5 days [MD: -23.49, 95 % CI: -32.80 to -14.18), p < 0.00001], 7 days [MD: -33.01, 95 % CI: -37.31 to -28.70), p < 0.00001] treatment, but also decreased time of jaundice fading [MD: -1.91, 95 % CI: -2.06 to -1.75), p < 0.00001], as well as the duration of phototherapy [MD: -0.64, 95 % CI: -0.84 to -0.44), p < 0.00001] and hospitalization [MD: -2.68, 95 % CI: -3.18 to -2.17), p < 0.00001], when compared with the control group. Additionally, no serious adverse reaction was reported. The authors concluded that this meta-analysis showed that probiotics supplementation therapy was an effective and safe treatment for pathological neonatal jaundice. Moreover, they stated that as the quality of included studies and the limitations of samples, the long-term safety and efficacy still need to be confirmed by long-term and high-quality research.

What is the ICd code for neonatal jaundice?

The ICD code P59 is used to code Neonatal jaundice. Neonatal jaundice or Neonatal hyperbilirubinemia, or Neonatal icterus (from the Greek word ἴκτερος), attributive adjective: icteric, is a yellowing of the skin and other tissues of a newborn infant.

How to tell if a baby has jaundice?

In newborns, jaundice is detected by blanching the skin with pressure applied by a finger so that it reveals underlying skin and subcutaneous tissue. Jaundiced newborns have yellow discoloration of the white part of the eye, and yellowing of the face, extending down onto the chest. Specialty: Pediatrics. MeSH Code:

What is the ICD code for acute care?

Use a child code to capture more detail. ICD Code P59.2 is a non-billable code.

What is jaundice in newborns?

JAUNDICE NEONATAL-. yellow discoloration of the skin; mucous membrane; and sclera in the newborn. it is a sign of neonatal hyperbilirubinemia. most cases are transient self limiting physiological neonatal jaundice occurring in the first week of life but some can be a sign of pathological disorders particularly liver diseases.

What is the P59.9 code?

P59.9 is a billable diagnosis code used to specify a medical diagnosis of neonatal jaundice, unspecified. The code P59.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. Unspecified diagnosis codes like P59.9 are acceptable when clinical information is unknown ...

Why do my eyes turn yellow?

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.

What is the GEM crosswalk?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code P59.9 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

When to use P59.9?

Unspecified diagnosis codes like P59.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.

What happens when red blood cells break down?

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. Many healthy babies have some jaundice during the first week of life.

The ICD code P58 is used to code Neonatal jaundice

Neonatal jaundice or Neonatal hyperbilirubinemia, or Neonatal icterus (from the Greek word ἴκτερος), attributive adjective: icteric, is a yellowing of the skin and other tissues of a newborn infant.

ICD-10-CM Alphabetical Index References for 'P58.42 - Neonatal jaundice due to drugs or toxins given to newborn'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code P58.42. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code P58.42 and a single ICD9 code, 774.1 is an approximate match for comparison and conversion purposes.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code P58.42 are found in the index:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Convert P58.42 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code P58.42 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

Information for Patients

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.

When is the ICd 10 code for neonatal jaundice effective?

The 2021 edition of ICD-10-CM P58 became effective on October 1, 2020.

What is P58.2 jaundice?

P58.0 Neonatal jaundice due to bruising. P58.1 Neonatal jaundice due to bleeding. P58.2 Neonatal jaundice due to infection. P58.3 Neonatal jaundice due to polycythemia. P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn.

What is P58.41?

P58.41 Neonatal jaundice due to drugs or toxins transmitted from mother. P58.42 Neonatal jaundice due to drugs or toxins given to newborn. P58.5 Neonatal jaundice due to swallowed maternal blood. P58.8 Neonatal jaundice due to other specified excessive hemolysis.

What is a type 1 exclude note?

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P58. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

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