ICD-10 Coding for Jaundice in Newborn(P59.0, P59.9)
Complete ICD-10-CM coding and documentation guide for Jaundice in Newborn. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Jaundice in Newborn
P59.0-P59.9Primary Range
Neonatal jaundice codes
These codes cover various causes of jaundice in newborns, including preterm delivery and unspecified causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| P59.0 | Neonatal jaundice associated with preterm delivery | Use when jaundice is linked to preterm delivery. |
|
| P59.9 | Neonatal jaundice, unspecified | Use when jaundice is present without a specified cause. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for neonatal jaundice
Essential facts and insights about Jaundice in Newborn
Primary ICD-10-CM Codes for jaundice in newborn
Decision Criteria
clinical Criteria
- Gestational age and bilirubin levels
Applicable To
- Jaundice due to prematurity
Excludes
- Jaundice due to other specified causes
Clinical Validation Requirements
- Gestational age <37 weeks
- Elevated TSB/TcB
- Documentation linking jaundice to prematurity
Code-Specific Risks
- Incorrect use without documentation of prematurity
Coding Notes
- Ensure documentation explicitly links jaundice to prematurity.
P59.9 - Neonatal jaundice, unspecified
Use when jaundice is present without a specified cause.
Applicable To
- Physiological jaundice
Excludes
- Jaundice due to specific causes
Clinical Validation Requirements
- Elevated bilirubin without specified cause
Coding Notes
Default code for unspecified neonatal jaundice.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Single liveborn infant, born in hospital
Z38.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Jaundice in Newborn to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P59.0.
Impact
Clinical: Misrepresentation of clinical condition, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Always document gestational age for newborns, Link clinical findings to specific codes
Impact
Reimbursement: Incorrect DRG assignment leading to reduced reimbursement., Compliance: Non-compliance with neonatal coding standards., Data Quality: Inaccurate data representation in neonatal care.
Mitigation Strategy
Use P59 codes for neonatal jaundice to ensure proper DRG mapping.
Impact
Failure to document prematurity when coding P59.0.
Mitigation Strategy
Implement mandatory fields for gestational age in neonatal records.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Jaundice in Newborn, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Jaundice in Newborn
Use these documentation templates to ensure complete and accurate documentation for Jaundice in Newborn. These templates include all required elements for proper coding and billing.
Preterm infant with jaundice
Specialty: PediatricsRequired Elements
- Gestational age
- Bilirubin levels
- Phototherapy details
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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