ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesP05.08

P05.08

Billable

Newborn light for gestational age, 2000-2499 grams

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P05.08 is a billable code used to indicate a diagnosis of newborn light for gestational age, 2000-2499 grams.

Key Diagnostic Point:

P05.08 refers to newborns who are classified as light for gestational age, weighing between 2000 to 2499 grams at birth. This condition is often associated with various maternal factors such as inadequate prenatal care, maternal smoking, substance abuse, or chronic health conditions like hypertension and diabetes. Delivery complications, including preterm labor or placental insufficiency, can also contribute to a newborn being light for gestational age. These infants may face increased risks for complications such as respiratory distress syndrome, hypoglycemia, and feeding difficulties. Close monitoring and specialized care in a neonatal intensive care unit (NICU) may be required to address these potential issues. Accurate coding of this condition is crucial for appropriate management and resource allocation in neonatal care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various weight categories (e.g., low birth weight vs. light for gestational age)
  • Understanding maternal health factors that contribute to the condition
  • Identifying associated delivery complications
  • Navigating documentation requirements for accurate coding

Audit Risk Factors

  • Inadequate documentation of maternal health history
  • Failure to document delivery complications
  • Misclassification of weight categories
  • Inconsistent coding practices among different healthcare providers

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of birth weight, gestational age, and any complications during delivery.

Common Clinical Scenarios

Infants admitted to the NICU for monitoring due to low birth weight and associated risks.

Billing Considerations

Ensure that all maternal factors and delivery complications are thoroughly documented to support the coding.

Pediatrics

Documentation Requirements

Comprehensive pediatric assessments that include growth metrics and developmental milestones.

Common Clinical Scenarios

Follow-up visits for infants who were light for gestational age and monitoring for developmental delays.

Billing Considerations

Consider the long-term implications of being light for gestational age on pediatric health.

Coding Guidelines

Inclusion Criteria

Use P05.08 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of gestational age, birth weight, and any maternal or delivery complications

Exclusion Criteria

Do NOT use P05.08 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, per day, for evaluation and management of a normal newborn

Clinical Scenario

Used when a newborn light for gestational age is evaluated in the nursery.

Documentation Requirements

Document the newborn's weight, gestational age, and any complications.

Specialty Considerations

Neonatologists should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of newborn care, including weight classifications and associated maternal factors.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of newborn care, including weight classifications and associated maternal factors.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What factors contribute to a newborn being classified as light for gestational age?

Factors include maternal health issues such as diabetes, hypertension, smoking, and inadequate prenatal care, as well as complications during delivery that may affect fetal growth.