P56
P56 — Hydrops fetalis due to hemolytic disease
Non-billable headerICD-10-CM
P56 is a non-billable header ICD-10-CM code for hydrops fetalis due to hemolytic disease. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- hydrops fetalis NOS (P83.2)
Other codes that can never be billed with P56
These codes carry an Excludes1 note pointing at P56. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P56 alone.
Risk adjustment
P56 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead P56
2 child codes. Green means billable.
Questions about P56
- Is P56 a billable ICD-10-CM code?
- No. P56 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P56 sit in the tabular list?
- Certain conditions originating in the perinatal period (P00-P96), in the block Hemorrhagic and hematological disorders of newborn (P50-P61).
- What cannot be coded together with P56?
- P56 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.