ICD-10 Coding for Jaundice(P59.0, R17, K83.1)
Complete ICD-10-CM coding and documentation guide for Jaundice. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Jaundice
P59.0-P59.9Primary Range
Neonatal jaundice
Covers jaundice conditions specific to newborns, including those related to prematurity and other neonatal factors.
Obstructive jaundice
Includes conditions related to bile duct obstruction, which can cause jaundice in adults.
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 | For preterm infants with jaundice directly linked to prematurity. |
|
| R17 | Unspecified jaundice | When the cause of jaundice is not specified or determined. |
|
| K83.1 | Obstructive jaundice | For jaundice caused by confirmed bile duct obstruction. |
|
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
Primary ICD-10-CM Codes for jaundice
Decision Criteria
clinical Criteria
- Preterm infant with jaundice and elevated bilirubin
Applicable To
- Jaundice in preterm infants
Excludes
- Jaundice due to other specified causes
Clinical Validation Requirements
- Gestational age less than 37 weeks
- Elevated bilirubin levels
Code-Specific Risks
- Incorrectly coding as unspecified neonatal jaundice (P59.9)
Coding Notes
- Ensure documentation includes gestational age and bilirubin levels.
R17 - Unspecified jaundice
When the cause of jaundice is not specified or determined.
Applicable To
- Jaundice not otherwise specified
Excludes
- Jaundice due to specific causes
Clinical Validation Requirements
- Elevated bilirubin without a known cause
Coding Notes
Use as a placeholder pending further workup.
K83.1 - Obstructive jaundice
For jaundice caused by confirmed bile duct obstruction.
Applicable To
- Jaundice due to bile duct obstruction
Excludes
- Jaundice due to other causes
Clinical Validation Requirements
- Imaging showing bile duct obstruction
- Elevated direct bilirubin
Coding Notes
Ensure imaging and lab results support the diagnosis.
Differential 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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P59.0.
Impact
Clinical: Inadequate monitoring of jaundice severity., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure bilirubin levels are recorded in the patient's chart., Use standardized templates for neonatal jaundice documentation.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Could result in coding audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Review clinical documentation to identify specific causes of jaundice.
Impact
Risk of audits due to incorrect coding of neonatal jaundice.
Mitigation Strategy
Use specific codes and ensure documentation supports coding decisions.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Jaundice
Use these documentation templates to ensure complete and accurate documentation for Jaundice. These templates include all required elements for proper coding and billing.
Neonatal jaundice in a preterm infant
Specialty: PediatricsRequired Elements
- Gestational age
- Bilirubin levels
- Feeding status
- Risk factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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