2027 ICD-10-CM Diagnosis Code P57Kernicterus
P57 is a non-billable ICD-10-CM category code for kernicterus, so it cannot be submitted on claims. Use a more specific code from this category instead, such as P57.0, P57.8, and P57.9.
Code Identity
Code Classification
Specific Coding for KernicterusOverview
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to P57: its own notes plus those printed at block P50-P61 and Chapter 16. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Codes from this chapter are for use on newborn records only, never on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name P57, its category, or a range that includes it.
Excludes1 4
These codes carry an Excludes1 note naming P57: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming P57: its condition is not part of those codes, and both may be reported when the patient has both.
- Block R70-R79 Abnormal findings on examination of blood, without diagnosis
Code First 1
These codes say to code first a condition named in the note, and P57 is one of the conditions named.
Clinical InformationClinical
Kernicterus
a term used pathologically to describe bilirubin staining of the basal ganglia; brain stem; and cerebellum and clinically to describe a syndrome associated with hyperbilirubinemia. clinical features include athetosis, muscle spasticity or hypotonia, impaired vertical gaze, and deafness. nonconjugated bilirubin enters the brain and acts as a neurotoxin, often in association with conditions that impair the blood-brain barrier (e.g., sepsis). this condition occurs primarily in neonates (infant, newborn), but may rarely occur in adults. (menkes, textbook of child neurology, 5th ed, p613)
Patient EducationClinical
Jaundice
Jaundice causes your skin and the whites of your eyes to turn yellow. Too much bilirubin causes jaundice. Bilirubin is a yellow chemical in hemoglobin, the substance that carries oxygen in your red blood cells. As red blood cells break down, your body builds new cells to replace them. The old ones are processed by the liver.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About P57Overview
What is the ICD-10 code for kernicterus?
P57 is the ICD-10-CM category for kernicterus, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is P57 (Kernicterus) a billable code?
No. This is a category header that groups the codes for kernicterus, and headers cannot be submitted on claims. Claims for kernicterus need a more specific code from this category, such as P57.0, P57.8, and P57.9.
Can P57 be reported with Q44.3?
Not as a rule. The Excludes1 note at block P50-P61, which applies to P57, lists "congenital stenosis and stricture of bile ducts (Q44.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
