Is P58.4 a billable ICD-10-CM code?

No. P58.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P58.4 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 P58.4?

P58.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P58.4 (P58) and apply to it just the same.

P58.4

P58.4 — Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn

Non-billable headerICD-10-CM

P58.4 is a non-billable header ICD-10-CM code for neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1 inherited from the categories above P58.4

These are not written on P58.4, but they bind it: a note on a category applies to every code beneath it. Billing P58.4 with anything listed here is a denial.

Written on P58 — Neonatal jaundice due to other excessive hemolysis

jaundice due to isoimmunization (P55-P57)

Other codes that can never be billed with P58.4

These codes carry an Excludes1 note pointing at P58.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P58.4 alone.

P93Reactions and intoxications due to drugs administered to newborn

Risk adjustment

P58.4 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 history

P58.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead P58.4

2 child codes. Green means billable.

Related codes at this level

Codes that share P58. If P58.4 is not quite right, the correct code is usually one of these.

Questions about P58.4

Is P58.4 a billable ICD-10-CM code?: No. P58.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P58.4 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 P58.4?: P58.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above P58.4 (P58) and apply to it just the same.