ICD-10 code for Encephalopathia hyperbilirubinemica

The ICD-10-CM code for Encephalopathia hyperbilirubinemica is P57.9 (Kernicterus, unspecified). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on P57.9.

Within P57, choose P57.9 (unspecified) only when documentation doesn't support a more specific option: due to isoimmunization (P57.0) and other specified kernicterus (P57.8).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.