P58.2
BillableNeonatal jaundice due to infection
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P58.2 an HCC code?
No. P58.2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
P58.2 is the ICD-10-CM diagnosis code for neonatal jaundice due to infection. Yellowing of a newborn's skin and eyes caused by bilirubin released as a result of an infection acquired before or shortly after birth. P58.2 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering hemorrhagic and hematological disorders of newborn (p50-p61).
P58.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Code the specific infection separately (such as sepsis, TORCH infections, or other perinatal infections) for complete documentation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P58.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Code the specific infection separately (such as sepsis, TORCH infections, or other perinatal infections) for complete documentation
- •Infections causing neonatal jaundice often require additional treatment; ensure all relevant diagnoses are captured