2027 ICD-10-CM Diagnosis Code P78.84Gestational alloimmune liver disease

ICD-10-CM Codes›P00–P96›P76-P78›P78

ICD-10-CM P78.84
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P78.84 is a billable ICD-10-CM diagnosis code for gestational alloimmune liver disease. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. The code is exempt from POA reporting. Coders also document this condition as hypoparathyroidism due to hemochromatosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neonatal digestive and feeding disorders.

Code Identity

ICD-10-CM Code
P78.84
Billable Status
Yes — Valid for Submission
Code Describes
Gestational alloimmune liver disease
Short Description
Gestational alloimmune liver disease
Same as the full description in the CMS dataset.
Parent Code
Other specified perinatal digestive system disorders

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP76-P78Digestive system disorders of newborn
CategoryP78Other perinatal digestive system disorders
This CodeP78.84Gestational alloimmune liver disease

Present on Admission (POA)Billing

P78.84 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Digestive system disorders of newborn (P76-P78).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hypoparathyroidism due to hemochromatosis
  • Neonatal hemochromatosis
  • Neonatal iron overload

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P78.84: its own notes plus those printed at P78 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.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • 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

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • GALD
  • Neonatal hemochromatosis

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On P78.84 itself
From P78 Other perinatal digestive system disorders applies to 10 codes

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.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Notes

General instructions on how these codes are used.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • 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 P78.84, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming P78.84: they are not reported together with it, unless the two conditions are unrelated.

  • E83.11 Hemochromatosis
    GALD (P78.84)
  • E83.11 Hemochromatosis
    Gestational alloimmune liver disease (P78.84)
  • E83.11 Hemochromatosis
    Neonatal hemochromatosis (P78.84)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL012
Neonatal digestive and feeding disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert P78.84 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
775.89 Neonat endo/met dis NEC
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement P78.84 replaces the following previously assigned code(s):

  • E83.118 - Other hemochromatosis
  • P78.89 - Other specified perinatal digestive system disorders
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P78.84Overview

What is the ICD-10 code for gestational alloimmune liver disease?

The ICD-10-CM code for gestational alloimmune liver disease is P78.84 (sometimes written as P7884). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P78.84 (Other specified perinatal digestive system disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report gestational alloimmune liver disease on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P78.84 group to?

When gestational alloimmune liver disease is the principal diagnosis on an inpatient stay, it groups to MS-DRG 794 (neonate with Other Significant Problems), which carries a relative weight of 1.4934. Higher weights mean higher Medicare reimbursement.

Is P78.84 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for gestational alloimmune liver disease on inpatient claims. The code appears in the Digestive system disorders of newborn (P76-P78) range of the CMS exempt list.

Can P78.84 be reported with a code from E83.11?

Not as a rule. The Excludes1 note on P78.84 lists "hemochromatosis (E83.11-)". 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).