2025 ICD-10-CM code P58.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal Conditions - Hemorrhagic and hematological disorders of newborn (P50-P61) Certain conditions originating in the perinatal period (P00-P96) Feed
Neonatal jaundice caused by drugs or toxins transmitted from the mother or administered to the newborn.
Medical necessity is established by the presence of neonatal jaundice and a confirmed or suspected causal relationship to maternal drug exposure or medication administered to the newborn.The severity of jaundice and the need for intervention will influence the level of medical necessity.
The clinical responsibility lies with the neonatologist or pediatrician managing the newborn's care.This includes assessing the jaundice, identifying the underlying cause (including drug exposure), and implementing appropriate management strategies, such as phototherapy or exchange transfusion if needed.
- Certain conditions originating in the perinatal period (P00-P96)
- P50-P61 (Hemorrhagic and hematological disorders of newborn)
In simple words: This code describes newborn jaundice (yellow skin and eyes) caused by medicines or harmful substances the baby got from the mother or was given after birth.It's important to know the exact cause because there are many reasons why a baby might have jaundice.
This code is used to classify neonatal jaundice (yellowing of the skin and whites of the eyes in a newborn) resulting from exposure to drugs or toxins either transmitted from the mother during pregnancy or administered to the newborn after birth.It is crucial to differentiate this from other causes of neonatal jaundice.If the jaundice is drug-induced,code the poisoning due to the drug or toxin using codes T36-T65 (with 5th or 6th character 1-4). Also, use an additional code to specify the adverse effect of the drug (T36-T50, 5th or 6th character 5).
Example 1: A newborn presents with jaundice after birth. The mother had been taking a medication during pregnancy known to cause neonatal jaundice.Code P58.4 is used to indicate the cause of the jaundice., A newborn is given an antibiotic after birth, and develops jaundice as an adverse effect of the medication.Both P58.4 and the appropriate code from T36-T65 (for the poisoning) and T36-T50 (for the adverse effect) are used., A baby is born with jaundice due to the mother's exposure to industrial toxins. P58.4 is used, and additional codes may be required to specify the toxin.
Complete medical history of the mother during pregnancy, including medication use.Detailed newborn medical record including physical examination, laboratory results (bilirubin levels), and any treatments administered.
** Always consider the possibility of multiple contributing factors to neonatal jaundice.Thorough clinical evaluation is necessary to accurately assign the appropriate code(s).
- Payment Status: Active
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center