P61.9 — Perinatal hematological disorder, unspecified
Is P61.9 billable?
Yes, but P61.9 is an unspecified code. P61.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, P61.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting P61.9 — the more specific alternatives are listed below.
P61.9 at a glance
| Code | P61.9 |
|---|---|
| Description | Perinatal hematological disorder, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P61.9 group to?
P61.9 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 P61.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P61.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Blood › dyscrasia › newborn
- Disorder › hematological › newborn (of)
- Dyscrasia › blood › newborn
Excludes1 — never code together — inherited from P50-P61
The conditions below can never be reported together with P61.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from P61
The conditions below can never be reported together with P61.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transient hypogammaglobulinemia of infancy (D80.7)
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P61.9, but a patient may have both at the same time. When documentation supports it, P61.9 and the excluded code may both be reported.
How long has P61.9 existed?
P61.9 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.
What other codes are in the P61 family? (8)
- P61.0Transient neonatal thrombocytopenia
- P61.1Polycythemia neonatorum
- P61.2Anemia of prematurity
- P61.3Congenital anemia from fetal blood loss
- P61.4Other congenital anemias, not elsewhere classified
- P61.5Transient neonatal neutropenia
- P61.6Other transient neonatal disorders of coagulation
- P61.8Other specified perinatal hematological disorders