ICD-10 Coding for Bilirubinemia(P59.9, E80.6)
Complete ICD-10-CM coding and documentation guide for Bilirubinemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilirubinemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| P59.9 | Neonatal jaundice, unspecified | Use for neonatal jaundice when the specific cause is not identified. |
|
| E80.6 | Other disorders of bilirubin metabolism | Use for non-neonatal bilirubin metabolism disorders. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for neonatal jaundice
Essential facts and insights about Bilirubinemia
Primary ICD-10-CM Codes for bilirubinemia
Decision Criteria
clinical Criteria
- TSB >95th percentile without identified cause
Applicable To
- Neonatal jaundice of unspecified cause
Excludes
- Neonatal jaundice due to other specified causes
Clinical Validation Requirements
- TSB >95th percentile for age in hours
Code-Specific Risks
- Risk of under-documentation if specific cause is not explored.
Coding Notes
- Ensure documentation includes bilirubin levels and any treatment initiated.
E80.6 - Other disorders of bilirubin metabolism
Use for non-neonatal bilirubin metabolism disorders.
Applicable To
- Conjugated hyperbilirubinemia
Excludes
- Neonatal jaundice
Clinical Validation Requirements
- Conjugated bilirubin >1.0 mg/dL
Coding Notes
Document genetic testing results if applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilirubinemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P59.9.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient detail.
Mitigation Strategy
Always specify bilirubin type in lab results., Use standardized templates for documentation.
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use P59.x codes for neonatal jaundice.
Impact
High risk of miscoding due to unspecified causes.
Mitigation Strategy
Use specific percentile charts and document all relevant clinical findings.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bilirubinemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilirubinemia
Use these documentation templates to ensure complete and accurate documentation for Bilirubinemia. These templates include all required elements for proper coding and billing.
Neonatal jaundice evaluation
Specialty: PediatricsRequired Elements
- Gestational age
- Birth weight
- Bilirubin levels
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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