2025 ICD-10-CM code P59.8
Neonatal jaundice from other specified causes.
Medical necessity for this diagnosis is established when a newborn presents with jaundice, and other more serious or specific causes have been ruled out through appropriate diagnostic testing and clinical evaluation.The documentation must clearly indicate the need for continued monitoring and treatment of the jaundice, such as phototherapy or other interventions.
The physician is responsible for diagnosing the underlying cause of the neonatal jaundice, distinguishing it from more serious conditions such as kernicterus or inborn errors of metabolism, and initiating appropriate treatment and monitoring.
- 16 Certain conditions originating in the perinatal period
- P50-P61 Hemorrhagic and hematological disorders of newborn
In simple words: This code describes jaundice in a newborn baby from a known cause, other than metabolism problems or kernicterus.
Neonatal jaundice from other specified causes. This code excludes jaundice due to inborn errors of metabolism (E70-E88) and kernicterus (P57.-).
Example 1: A newborn baby develops jaundice on day 5 of life. Initial blood tests rule out blood type incompatibility and infection. After further investigation, no specific cause can be identified, and the jaundice is attributed to prolonged physiological jaundice., A breastfed newborn presents with jaundice two weeks after birth. The mother's milk is tested and found to contain a breast milk inhibitor that is interfering with bilirubin conjugation in the infant. Other potential causes of jaundice are excluded., A baby born prematurely experiences prolonged jaundice. While prematurity can contribute to jaundice, other factors, such as infection or medication exposure, are ruled out, and the jaundice is documented as being from an unspecified cause.
Documentation should include the onset and duration of jaundice, feeding method (breast or formula), results of bilirubin levels and other relevant blood tests, any maternal factors that may contribute to jaundice (e.g., medications), and exclusion of other causes of neonatal jaundice.
** This code is for use in newborn records only, not maternal records.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Birthing Center