ICD-10 · PDGM grouping
P58 Neonatal jaundice due to other excessive hemolysis
All 9 codes in the P58 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
9
Can lead a claim
9
Cannot lead a claim
0
What CMS assigns to P58
All 9 codes group to MMTA - Other. None of the 9 is assigned a comorbidity subgroup. Every code can lead a claim. CMS attaches a code-first note to 2 of the 9.
Code first
CMS grouper convention 13, on P58.41, P58.42. Code first:
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Every code in P58
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| P58.0 | Neonatal jaundice due to bruising | Can lead a claim | A | None |
| P58.1 | Neonatal jaundice due to bleeding | Can lead a claim | A | None |
| P58.2 | Neonatal jaundice due to infection | Can lead a claim | A | None |
| P58.3 | Neonatal jaundice due to polycythemia | Can lead a claim | A | None |
| 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 motherCMS: NB jaund due to drugs or toxins transmitted from mother | Can lead a claim, code first applies | A | None |
| P58.42 | Neonatal jaundice due to drugs or toxins given to newborn | Can lead a claim, code first applies | A | None |
| P58.5 | Neonatal jaundice due to swallowed maternal blood | Can lead a claim | A | None |
| P58.8 | Neonatal jaundice due to other specified excessive hemolysis | Can lead a claim | A | None |
| P58.9 | Neonatal jaundice due to excessive hemolysis, unspecified | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue