Newborn small for gestational age, 1000-1249 grams
ICD-10 P05.14 is a billable code used to indicate a diagnosis of newborn small for gestational age, 1000-1249 grams.
Newborns classified as small for gestational age (SGA) are those whose birth weight is below the 10th percentile for their gestational age. Specifically, P05.14 refers to newborns weighing between 1000 and 1249 grams. 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 complications, including respiratory distress syndrome, hypoglycemia, and long-term developmental issues. Proper identification and management of SGA newborns are crucial for improving outcomes, necessitating close monitoring and potential interventions in the neonatal intensive care unit (NICU).
Detailed records of birth weight, gestational age, and maternal health factors are essential. Documentation should include any interventions or monitoring performed.
Common scenarios include SGA infants requiring NICU admission for respiratory support or feeding difficulties.
Coders should ensure that all relevant maternal factors and delivery complications are documented to support the diagnosis.
Pediatric documentation should include growth assessments and developmental milestones to monitor the long-term effects of being SGA.
Pediatric follow-ups for SGA infants may include assessments for developmental delays or nutritional needs.
Consideration of the infant's growth trajectory and any ongoing health issues is crucial for accurate coding.
Used for initial assessment of SGA newborns in the NICU.
Document weight, gestational age, and any immediate interventions.
Neonatologists should ensure comprehensive documentation of the newborn's condition.
Factors include maternal health issues such as hypertension, diabetes, poor nutrition, and placental insufficiency. Additionally, multiple gestations and certain infections during pregnancy can also contribute.
