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P59 ICD-10-CM Code: Neonatal jaundice from other and unspecified causes

P59 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupP59

FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Hemorrhagic and hematological disorders of newborn (P50-P61)

P59

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Neonatal jaundice from other and unspecified causes

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for P59. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from P00-P96
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from P00-P96
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from P00-P96
  • neoplasms (C00-D49)Inherited from P00-P96
  • tetanus neonatorum (A33)Inherited from P00-P96

Includes

Official
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs laterInherited from P00-P96

Excludes 1

Official
  • jaundice due to inborn errors of metabolism (E70-E88)
  • kernicterus (P57.-)
  • congenital stenosis and stricture of bile ducts (Q44.3)Inherited from P50-P61
  • Crigler-Najjar syndrome (E80.5)Inherited from P50-P61
  • Dubin-Johnson syndrome (E80.6)Inherited from P50-P61
  • Gilbert syndrome (E80.4)Inherited from P50-P61
  • hereditary hemolytic anemias (D55-D58)Inherited from P50-P61

Code First

Official

No Code First sequencing instructions are included in this display for P59. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for P59. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for P59. Check the code and parent instructions in the Code Book.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
P59
Description
Neonatal jaundice from other and unspecified causes
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

P59 is the ICD-10-CM diagnosis code for neonatal jaundice from other and unspecified causes. P59 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).

Header codes like P59 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for P59 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • jaundice due to inborn errors of metabolism (E70-E88)
  • kernicterus (P57.-)

Child Codes

Code Hierarchy

P59Neonatal jaundice from other and unspecified causes
P59Neonatal jaundice from other and unspecified causes

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