P57.8: Other specified kernicterus
P57.8 is a billable, specific ICD-10-CM code for other specified kernicterus. It is valid for submission on a claim.
Check P57.8 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Crigler-Najjar syndrome (E80.5)
Other codes that can never be billed with P57.8
Their own Excludes1 notes name this code, so the conflict is not listed above.
- P59Neonatal jaundice from other and unspecified causes
Risk adjustment
P57.8 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 192 Cerebral Palsy, Except Quadriplegic0.314 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.
Medicare coverage
P57.8 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Kernicterus of newborn›specified type NEC
Code history
Unchanged in every release from FY2024 to FY2027.