P58.5 — Neonatal jaundice due to swallowed maternal blood

Billable

Is P58.5 billable?

Yes — P58.5 is billable for FY2027. P58.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P58.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.

P58.5 at a glance

Code	P58.5
Description	Neonatal jaundice due to swallowed maternal blood
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does P58.5 group to?

P58.5 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

794Neonate with Other Significant Problemsmedical

How is P58.5 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to P58.5. They show the wording a clinician may have documented, which often differs from the Tabular description.

Jaundice › newborn › due to or associated with › swallowed maternal blood (yellow)
Jaundice › newborn › due to or associated with › excessive hemolysis › due to › swallowed maternal blood (yellow)

Excludes1 — never code together — inherited from P50-P61

The conditions below can never be reported together with P58.5 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)

Excludes1 — never code together — inherited from P58

The conditions below can never be reported together with P58.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

jaundice due to isoimmunization (P55-P57)

Excludes2 — not included here — inherited from Chapter 16

The conditions below are not part of P58.5, but a patient may have both at the same time. When documentation supports it, P58.5 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)

How long has P58.5 existed?

P58.5 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 conditions are coded to P58.5?

ICD-10 code for Jaundice