ICD-10 P61.0
Billable / Specific MCCTransient neonatal thrombocytopenia
About ICD-10-CM P61.0
ICD-10-CM code P61.0 represents Transient neonatal thrombocytopenia. This is a billable/specific code in the Perinatal Period chapter (block P61). The 2026 edition of ICD-10-CM P61.0 became effective on October 1, 2025.
Coding Tips for P61.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
P61.0 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P61.0. Per CMS ICD-10-CM Tabular 2026.
- Neonatal thrombocytopenia due to exchange transfusion
- Neonatal thrombocytopenia due to idiopathic maternal thrombocytopenia
- Neonatal thrombocytopenia due to isoimmunization
Inpatient DRG Impact, MCC
codes Transient neonatal thrombocytopenia. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for P61.0
Local Coverage Determinations (LCDs) from CMS MACs that list P61.0 as a covered diagnosis.
Showing top 10 of 27 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P61.0.
1 Medicare
CPT Codes Commonly Billed with P61.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert P61.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| P61.0 | 7761 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P61.0
Other codes in section P50-P61 (Hemorrhagic and hematological disorders of newborn).
ICD-10 P61.0, Billing FAQ
Is ICD-10 code P61.0 billable? +
Yes, P61.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to P61.0? +
ICD-10 P61.0 includes: Neonatal thrombocytopenia due to exchange transfusion; Neonatal thrombocytopenia due to idiopathic maternal thrombocytopenia; Neonatal thrombocytopenia due to isoimmunization.
Is P61.0 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does P61.0 map to? +
Per CMS GEMs, P61.0 maps to ICD-9 codes: 7761. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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