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P55.8

Billable

Other hemolytic diseases of newborn

HCC Category Mapping

V28HCC 109Hemolytic and Aplastic Anemias
0.291

What 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

Code Hierarchy

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