P17-P17
Medium Complexity

Disorders of newborn related to length of gestation and fetal growth

Primary Specialty: Neonatology
Last Updated: 2025-09-09

ICD-10 Codes (0)

0 billable
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

P04.49
Newborn affected by maternal use of other drugs of addiction

Revised Codes (1)

P04.17
Newborn affected by maternal use of cocaine - updated neonatal abstinence syndrome correlation

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • FY 2025: Routine maintenance updates with minor terminology clarifications
  • FY 2024: Enhanced specificity requirements for certain code ranges
  • FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • Proposed updates pending review by Coordination and Maintenance Committee
  • Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • Review all FY 2026 updates for P17-P17 codes before implementation
  • Always verify the most current codes in the ICD-10-CM manual
  • Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The P17-P17 code range in ICD-10 pertains to disorders of newborns related to length of gestation and fetal growth. This includes conditions such as preterm birth, low birth weight, and intrauterine growth restriction. These codes are used to document newborn conditions that arise due to gestational age and fetal development, which can significantly impact the newborn's health status and require specialized care.

Key Usage Points:

  • Always code to the highest level of specificity available.
  • Use additional codes to identify any associated conditions or complications.
  • Ensure accurate documentation of gestational age and birth weight.
  • Remember to code first any associated maternal conditions.
  • Use these codes only for newborns, not for older infants or children.

Coding Guidelines

When to Use:

  • When a newborn is diagnosed with a condition related to prematurity.
  • When a newborn has a condition related to low birth weight.
  • When a newborn has a condition related to intrauterine growth restriction.
  • When a newborn has a condition related to excessive growth for gestational age.
  • When a newborn has a condition related to post-term birth.

When NOT to Use:

  • When the newborn's condition is not related to gestational age or fetal growth.
  • When the newborn's condition is due to a congenital anomaly.
  • When the newborn's condition is due to a maternal condition that is not related to gestational age or fetal growth.
  • When the condition is diagnosed after the newborn period.
  • When the condition is a normal variant of growth or development.

Code Exclusions

Always verify exclusions and check the specific guidelines for each code.

Documentation Requirements

Documentation for these codes should include a detailed description of the newborn's condition, including the gestational age, birth weight, and any associated complications or conditions. The documentation should also include any relevant maternal conditions.

Clinical Information:

  • Detailed description of the newborn's condition
  • Gestational age at birth
  • Birth weight
  • Any associated complications or conditions
  • Any relevant maternal conditions

Supporting Evidence:

  • Laboratory test results
  • Imaging studies
  • Clinical notes from the neonatologist or pediatrician
  • Maternal medical records
Good Documentation Example:

Newborn male, gestational age 32 weeks, birth weight 1500 grams, diagnosed with respiratory distress syndrome due to prematurity.

Poor Documentation Example:

Premature newborn with breathing problems.

Common Documentation Errors:

  • Not documenting the gestational age or birth weight
  • Not specifying the exact condition of the newborn
  • Not including any associated complications or conditions
  • Not coding any relevant maternal conditions

Range Statistics

3
Total Codes
0
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:16

Coding Complexity

Medium
Complexity Rating

The complexity of these codes is medium because they require a detailed understanding of newborn conditions related to gestational age and fetal growth. Coders must be able to interpret clinical documentation accurately and apply the correct code based on the gestational age, birth weight, and any associated complications or conditions. They also need to be aware of the exclusions for this code range and code any relevant maternal conditions.

Key Factors:
  • Determining the correct code based on gestational age and birth weight
  • Identifying any associated complications or conditions
  • Coding any relevant maternal conditions
  • Navigating the exclusions for this code range
  • Keeping up to date with changes in the coding guidelines

Specialty Focus

These codes are primarily used by neonatologists, pediatricians, and obstetricians. They are also relevant for any healthcare professionals involved in the care of newborns, such as nurses and respiratory therapists.

Primary Specialties:
Neonatology
60%
Pediatrics
30%
Obstetrics
10%
Clinical Scenarios:
  • Newborn with respiratory distress syndrome due to prematurity
  • Newborn with hypoglycemia due to intrauterine growth restriction
  • Newborn with jaundice due to post-term birth
  • Newborn with hypothermia due to low birth weight
  • Newborn with polycythemia due to excessive growth for gestational age

Resources & References

There are several resources available for coding disorders of newborns related to length of gestation and fetal growth. These include the official ICD-10 coding guidelines, clinical reference books, and educational materials from professional coding organizations.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • World Health Organization's International Classification of Diseases
  • American Hospital Association's Coding Clinic

Clinical References:

  • Neonatology: Clinical Practice and Procedures
  • Avery's Diseases of the Newborn

Educational Materials:

  • American Academy of Professional Coders (AAPC) educational resources
  • American Health Information Management Association (AHIMA) coding resources

Frequently Asked Questions

Can these codes be used for older infants or children?

No, these codes are specifically for conditions in newborns related to gestational age or fetal growth. For older infants or children, other codes would be more appropriate.