Newborn small for gestational age, other
ICD-10 P05.19 is a billable code used to indicate a diagnosis of newborn small for gestational age, other.
P05.19 refers to newborns who are classified as small for gestational age (SGA) due to factors other than the commonly recognized causes. SGA is defined as a birth weight below the 10th percentile for the gestational age. This condition can arise from various maternal factors, including inadequate maternal nutrition, chronic maternal diseases (such as hypertension or diabetes), placental insufficiency, or maternal substance abuse. Delivery complications such as preterm birth or intrauterine growth restriction (IUGR) can also contribute to SGA. Accurate coding requires a thorough understanding of the underlying causes and the clinical context, as SGA can be associated with increased risks of morbidity and mortality in the neonatal period. Clinicians must document the specific maternal conditions and complications that led to the SGA diagnosis to ensure appropriate coding and care planning.
Detailed records of birth weight, gestational age, and maternal health history.
NICU admissions for SGA infants requiring monitoring for hypoglycemia, thermoregulation issues, and feeding difficulties.
Consideration of long-term follow-up for developmental outcomes in SGA infants.
Comprehensive pediatric assessments including growth charts and developmental milestones.
Routine pediatric visits for SGA infants to monitor growth and development.
Awareness of potential long-term health issues associated with being SGA.
Used for SGA infants requiring initial assessment in the nursery.
Document birth weight, gestational age, and any complications.
Neonatologists should ensure thorough documentation of SGA status.
Key factors include maternal health conditions, gestational age, birth weight, and any delivery complications that may have contributed to the infant being classified as SGA.
