2020 ICD-10-CM Diagnosis Code P57

Kernicterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • P57 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM P57 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of P57 - other international versions of ICD-10 P57 may differ.
The following code(s) above P57 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P57:
  • P00-P96
    2020 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • 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
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • 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)
    Certain conditions originating in the perinatal period
  • P50-P61
    2020 ICD-10-CM Range P50-P61

    Hemorrhagic and hematological disorders of newborn

    Type 1 Excludes
    • congenital stenosis and stricture of bile ducts (Q44.3)
    • Crigler-Najjar syndrome (E80.5)
    • Dubin-Johnson syndrome (E80.6)
    • Gilbert syndrome (E80.4)
    • hereditary hemolytic anemias (D55-D58)
    Hemorrhagic and hematological disorders of newborn
Clinical Information
  • A rare neurologic disorder occurring in infants with jaundice. It results from brain damage by existing high levels of unconjugated-indirect bilirubin.
  • 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)
  • Brain disorder associated with high levels of bilrubin; 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; this condition occurs primarily in neonates with perinatal blood incompatibilities, but may rarely occur in adults.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to P57:
  • Code First: P91.811
    ICD-10-CM Diagnosis Code P91.811

    Neonatal encephalopathy in diseases classified elsewhere

      2018 - New Code 2019 2020 Billable/Specific Code Code on Newborn Record POA Exempt Manifestation Code
    Code First
    • underlying condition, if known, such as:
    • congenital cirrhosis (of liver) (P78.81)
    • intracranial nontraumatic hemorrhage of newborn (P52.-)
    • kernicterus (P57.-)
  • Type 1 Excludes: P59
    ICD-10-CM Diagnosis Code P59

    Neonatal jaundice from other and unspecified causes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • jaundice due to inborn errors of metabolism (E70-E88)
    • kernicterus (P57.-)
ICD-10-CM Codes Adjacent To P57
P55 Hemolytic disease of newborn
P55.0 Rh isoimmunization of newborn
P55.1 ABO isoimmunization of newborn
P55.8 Other hemolytic diseases of newborn
P55.9 Hemolytic disease of newborn, unspecified
P56 Hydrops fetalis due to hemolytic disease
P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified hemolytic disease
P56.90 Hydrops fetalis due to unspecified hemolytic disease
P56.99 Hydrops fetalis due to other hemolytic disease
P57 Kernicterus
P57.0 Kernicterus due to isoimmunization
P57.8 Other specified kernicterus
P57.9 Kernicterus, unspecified
P58 Neonatal jaundice due to other excessive hemolysis
P58.0 Neonatal jaundice due to bruising
P58.1 Neonatal jaundice due to bleeding
P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
P58.41 Neonatal jaundice due to drugs or toxins transmitted from mother

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.