Is P61.0 a billable ICD-10-CM code?

Yes. P61.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P61.0 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).

P61.0

P61.0 — Transient neonatal thrombocytopenia

Billable / specific codeICD-10-CM

P61.0 is a billable, specific ICD-10-CM code for transient neonatal thrombocytopenia. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neonatal thrombocytopenia due to exchange transfusion
Neonatal thrombocytopenia due to idiopathic maternal thrombocytopenia
Neonatal thrombocytopenia due to isoimmunization

Other codes that can never be billed with P61.0

These codes carry an Excludes1 note pointing at P61.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P61.0 alone.

D69.4Other primary thrombocytopenia
D69.5Secondary thrombocytopenia

Risk adjustment

P61.0 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.

Medicare coverage

P61.0 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57554Billing and Coding: Immune Globulins

How P61.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P61.0.

Thrombocytopenia, thrombocytopenic›neonatal, transitory
Thrombocytopenia, thrombocytopenic›transient neonatal
Purpura›thrombocytopenic›neonatal, transitory
Thrombocytopenia, thrombocytopenic›neonatal, transitory›due to›exchange transfusion
Thrombocytopenia, thrombocytopenic›neonatal, transitory›due to›idiopathic maternal thrombocytopenia
Thrombocytopenia, thrombocytopenic›neonatal, transitory›due to›isoimmunization

Related codes at this level

Codes that share P61. If P61.0 is not quite right, the correct code is usually one of these.

Questions about P61.0

Is P61.0 a billable ICD-10-CM code?: Yes. P61.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P61.0 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).