ICD-10 Guide

Hyperbilirubinemia

ICD-10 Coding for Hyperbilirubinemia(P59.9, P58.0)

PRIMARY SPECIALTYPediatrics

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hyperbilirubinemia?

Essential facts and insights about Hyperbilirubinemia

Key Clinical Considerations:

Jaundice (yellowing of skin and eyes)
Elevated serum bilirubin levels
Dark urine and pale stools

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history including onset and duration of jaundice
Results of bilirubin tests (total and direct)
Physical examination findings related to liver function

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for distinguishing between direct and indirect hyperbilirubinemia.
Common errors include misclassifying the type of jaundice.

Code Exclusions

Important Exclusions

Hemolytic disease of the newborn (P55)
Biliary atresia (Q44.2)

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

Neonates and infants
Pediatric outpatient and inpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document bilirubin levels, clinical signs, and any underlying conditions.

What are the billing considerations?

Ensure accurate coding to reflect the specific type of hyperbilirubinemia.

Hyperbilirubinemia

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?

Hyperbilirubinemia

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?