Is P61.5 a billable ICD-10-CM code?

Yes. P61.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P61.5 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Hemorrhagic and hematological disorders of newborn (P50-P61).

What cannot be coded together with P61.5?

P61.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P61.5

P61.5 — Transient neonatal neutropenia

Billable / specific codeICD-10-CM

P61.5 is a billable, specific ICD-10-CM code for transient neonatal neutropenia. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital neutropenia (nontransient) (D70.0)

Other codes that can never be billed with P61.5

These codes carry an Excludes1 note pointing at P61.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P61.5 alone.

D70Neutropenia

Risk adjustment

P61.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How P61.5 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P61.5.

Leukopenia›transitory neonatal
Neutropenia, neutropenic›neonatal, transitory(isoimmune) (maternal transfer)

Related codes at this level

Codes that share P61. If P61.5 is not quite right, the correct code is usually one of these.

Questions about P61.5

Is P61.5 a billable ICD-10-CM code?: Yes. P61.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P61.5 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Hemorrhagic and hematological disorders of newborn (P50-P61).
What cannot be coded together with P61.5?: P61.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.