Is P61 a billable ICD-10-CM code?

No. P61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P61 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 P61?

P61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P61

P61 — Other perinatal hematological disorders

Non-billable headerICD-10-CM

P61 is a non-billable header ICD-10-CM code for other perinatal hematological disorders. 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.

transient hypogammaglobulinemia of infancy (D80.7)

Other codes that can never be billed with P61

These codes carry an Excludes1 note pointing at P61. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P61 alone.

P50Newborn affected by intrauterine (fetal) blood loss
R71Abnormality of red blood cells
D62Acute posthemorrhagic anemia
D50.0Iron deficiency anemia secondary to blood loss (chronic)
D69.4Other primary thrombocytopenia
D69.5Secondary thrombocytopenia
D70Neutropenia
D75.1Secondary polycythemia

Risk adjustment

P61 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 P61

9 child codes. Green means billable.

Questions about P61

Is P61 a billable ICD-10-CM code?: No. P61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P61 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 P61?: P61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.