Newborn small for gestational age, 750-999 grams
ICD-10 P05.13 is a billable code used to indicate a diagnosis of newborn small for gestational age, 750-999 grams.
Newborns classified as small for gestational age (SGA) are those whose birth weight is below the 10th percentile for their gestational age. Specifically, P05.13 refers to infants weighing between 750 and 999 grams at birth. This condition can arise from various maternal factors, including inadequate maternal nutrition, placental insufficiency, and maternal health issues such as hypertension or diabetes. Delivery complications, such as preterm birth or intrauterine growth restriction (IUGR), can also contribute to SGA status. These infants are at increased risk for a range of health issues, including respiratory distress syndrome, hypoglycemia, and long-term developmental delays. Careful monitoring and management in the neonatal intensive care unit (NICU) are essential to address these risks and support optimal growth and development.
Detailed records of birth weight, gestational age, and maternal health history are crucial. Documentation should include any complications during delivery and immediate postnatal care.
Common scenarios include preterm infants admitted to the NICU for respiratory support and monitoring for hypoglycemia.
Accurate coding requires understanding the interplay between maternal factors and neonatal outcomes, as well as the need for ongoing assessments.
Pediatric documentation should include growth charts, developmental assessments, and any interventions required for SGA infants.
Pediatric follow-up visits for SGA infants to monitor growth and development milestones.
Pediatricians must be aware of the long-term implications of SGA status and document any developmental delays or interventions.
Used for initial assessment of SGA infants in the NICU.
Document weight, gestational age, and any immediate interventions.
Neonatologists must ensure thorough documentation of all assessments.
Factors include maternal health conditions such as hypertension, diabetes, nutritional deficiencies, and placental insufficiency. Additionally, multiple gestations and certain infections during pregnancy can also lead to SGA.
