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 CodesP07.1

P07.1

Billable

Other low birth weight newborn

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

Code Description

ICD-10 P07.1 is a billable code used to indicate a diagnosis of other low birth weight newborn.

Key Diagnostic Point:

P07.1 refers to newborns who are classified as having low birth weight but do not fall into the specific categories of very low birth weight (less than 1500 grams) or extremely low birth weight (less than 1000 grams). Low birth weight can result from various maternal factors such as inadequate prenatal care, maternal smoking, substance abuse, infections, or chronic health conditions like hypertension and diabetes. Delivery complications, including preterm labor, placental insufficiency, and multiple gestations, can also contribute to low birth weight. These newborns may face increased risks for developmental delays, respiratory distress syndrome, and other complications requiring specialized neonatal care. Accurate coding of P07.1 is essential for tracking outcomes and resource allocation in neonatal intensive care units (NICUs).

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of low birth weight (e.g., low vs. very low vs. extremely low)
  • Understanding maternal health factors and their impact on birth weight
  • Identifying delivery complications that contribute to low birth weight
  • Documenting associated conditions and comorbidities accurately

Audit Risk Factors

  • Inadequate documentation of maternal health history
  • Failure to specify the type of low birth weight
  • Misclassification of gestational age
  • Omission of delivery complications in the medical record

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed documentation of birth weight, gestational age, and any complications during delivery or maternal health issues.

Common Clinical Scenarios

Newborns admitted to the NICU for respiratory support or feeding difficulties due to low birth weight.

Billing Considerations

Ensure that all maternal factors and delivery complications are well-documented to support the coding of P07.1.

Pediatrics

Documentation Requirements

Documentation of follow-up care, developmental assessments, and any ongoing health issues related to low birth weight.

Common Clinical Scenarios

Pediatric visits for growth monitoring and developmental evaluations of low birth weight infants.

Billing Considerations

Consider the long-term implications of low birth weight on health outcomes when coding.

Coding Guidelines

Inclusion Criteria

Use P07.1 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of birth weight, gestational age, and any maternal or delivery complications

Exclusion Criteria

Do NOT use P07.1 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 infant

Clinical Scenario

Used for initial assessment of a low birth weight infant in the NICU.

Documentation Requirements

Document the infant's weight, gestational age, and any immediate concerns.

Specialty Considerations

Neonatologists should ensure comprehensive evaluations 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 low birth weight conditions, improving data accuracy and enhancing the ability to track outcomes and resource utilization in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of low birth weight conditions, improving data accuracy and enhancing the ability to track outcomes and resource utilization in neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of low birth weight conditions, improving data accuracy and enhancing the ability to track outcomes and resource utilization in neonatal care.

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 under P07.1?

Factors include maternal health issues such as diabetes, hypertension, smoking, and inadequate prenatal care, as well as delivery complications like preterm labor and placental insufficiency.