ICDcodes.org
FY2027

P55Hemolytic disease of newborn

Not billable

Is P55 billable?

No — P55 is a non-billable header code. P55 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 4 billable codes beneath P55.

P55 at a glance

CodeP55
DescriptionHemolytic disease of newborn
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together — inherited from P50-P61

The conditions below can never be reported together with P55 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • 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)

Excludes2 — not included here — inherited from Chapter 16

The conditions below are not part of P55, but a patient may have both at the same time. When documentation supports it, P55 and the excluded code may both be reported.

  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

What codes fall under P55? (4)

How long has P55 existed?

P55 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with P55?

ICD-10-CM declares these codes mutually exclusive with P55 — exactly one of each pair can be correct for a given encounter.