P55.8
BillableOther hemolytic diseases of newborn
HCC Category Mapping
V28HCC 109 — Hemolytic and Aplastic Anemias
0.291What This Code Means
Destruction of the newborn's red blood cells due to blood type incompatibility or other immune causes not specified as Rh or ABO.
Coding Tips
- •Use this code for other blood group incompatibilities (Kell, Duffy, Kidd, etc.)
- •Document the specific blood group incompatibility identified in testing
Clinical Significance
Other hemolytic diseases in newborns encompass various immune-mediated red blood cell destruction not due to ABO or Rh incompatibility, requiring prompt recognition and treatment to prevent severe anemia and kernicterus. These conditions often require specialized blood banking support and intensive monitoring.
Documentation Requirements
- ✓Evidence of hemolysis not due to ABO or Rh incompatibility
- ✓Documentation of specific blood group antibodies involved
- ✓Laboratory findings showing anemia and elevated bilirubin
- ✓Maternal antibody screening and identification
- ✓Direct and indirect Coombs test results
- ✓Assessment of hemolysis severity and complications
- ✓Treatment plan including phototherapy or exchange transfusion
- ✓Blood bank consultation and compatible blood product identification
Commonly Confused Codes
P55.0 — Rh isoimmunization of newborn (Rh vs other antibodies)P55.1 — ABO isoimmunization of newborn (ABO vs other antibodies)P61.2 — Anemia of prematurity (non-immune vs immune anemia)P58.8 — Neonatal jaundice due to other specified causes (immune vs non-immune)D59.1 — Other autoimmune hemolytic anemias (adult vs neonatal condition)
Code Hierarchy
└P55Hemolytic disease of newborn└P55.8Other hemolytic diseases of newborn
└P55.8Other hemolytic diseases of newborn