Newborn small for gestational age, 1250-1499 grams
ICD-10 P05.15 is a billable code used to indicate a diagnosis of newborn small for gestational age, 1250-1499 grams.
Newborns classified as small for gestational age (SGA) are those whose birth weight is below the 10th percentile for their gestational age. Specifically, the P05.15 code applies to infants weighing between 1250 and 1499 grams at birth. This condition can arise from various maternal factors, including inadequate maternal nutrition, chronic maternal diseases (such as hypertension or diabetes), and placental insufficiency. Delivery complications such as preterm birth, intrauterine growth restriction (IUGR), and multiple gestations can also contribute to SGA status. These infants are at increased risk for perinatal morbidity and mortality, necessitating careful monitoring and management in neonatal intensive care units (NICUs). Clinicians must assess for associated complications, including hypoglycemia, hypothermia, and respiratory distress, which are common in SGA infants. Accurate coding is crucial for appropriate resource allocation and management strategies in neonatal care.
Detailed birth weight, gestational age, and maternal health history must be documented. Any complications arising from SGA status should also be noted.
Common scenarios include management of SGA infants in the NICU, monitoring for hypoglycemia, and addressing feeding difficulties.
Special attention should be given to the infant's growth trajectory and any interventions required to support adequate nutrition and development.
Pediatricians should document growth patterns, developmental milestones, and any ongoing health issues related to SGA status.
Pediatric follow-ups for SGA infants may include assessments for developmental delays or chronic health issues.
Consideration of long-term outcomes for SGA infants is essential, including monitoring for potential growth and developmental challenges.
Used for the initial evaluation and management of an SGA infant in the NICU.
Documentation must include birth weight, gestational age, and any complications.
Neonatologists should ensure comprehensive assessments are documented.
Factors include maternal health issues such as hypertension, diabetes, smoking, poor nutrition, and placental insufficiency. These factors can restrict fetal growth, leading to SGA status.
