MCMedicalCodingSoftware
P55.9

P55.9: Hemolytic disease of newborn, unspecified

Billable / specific codeICD-10-CM

P55.9 is a billable, specific ICD-10-CM code for hemolytic disease of newborn, unspecified. It is valid for submission on a claim.

Check P55.9 with the rest of the claim: free scrubber

Other codes that can never be billed with P55.9

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R71Abnormality of red blood cells
  • R76.0Raised antibody titer
  • D58Other hereditary hemolytic anemias

Risk adjustment

P55.9 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias1.144 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Alphabetic index entries that lead here

  • Erythroblastosis(fetalis) (newborn)
  • Disease, diseased›hemolytic(newborn)
  • Isoimmunization NEC›newborn
  • Anemia›congenital›due to isoimmunization NOS
  • Anemia›erythroblastic›newborn
  • Jaundice›newborn›due to or associated with›hemolytic disease
  • Jaundice›newborn›due to or associated with›incompatibility, maternal/fetal NOS
  • Jaundice›newborn›due to or associated with›isoimmunization NOS

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under P55

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.