P60
BillableDisseminated intravascular coagulation of newborn
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is P60 an HCC code?
No. P60 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
P60 is the ICD-10-CM diagnosis code for disseminated intravascular coagulation of newborn. A serious bleeding disorder in newborns where blood clots form throughout the body and use up clotting factors, leading to severe bleeding. P60 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).
P60 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.
This is a critical condition requiring immediate documentation of the underlying cause (infection, trauma, etc.).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P60 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a critical condition requiring immediate documentation of the underlying cause (infection, trauma, etc.)
- •Coordinate coding with laboratory findings showing prolonged PT/PTT and low platelet counts