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ICD-10 Guide
ICD-10 CodesP07.17

P07.17

Billable

Other low birth weight newborn, 1750-1999 grams

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

Code Description

ICD-10 P07.17 is a billable code used to indicate a diagnosis of other low birth weight newborn, 1750-1999 grams.

Key Diagnostic Point:

P07.17 is used to classify newborns who are categorized as having low birth weight, specifically those weighing between 1750 and 1999 grams at birth. Low birth weight can arise from various maternal factors, including inadequate prenatal care, maternal malnutrition, smoking, substance abuse, and chronic health conditions such as hypertension or diabetes. Delivery complications, such as preterm labor, placental abruption, or intrauterine growth restriction (IUGR), can also contribute to low birth weight. Newborns in this category are at increased risk for a range of health issues, including respiratory distress syndrome, feeding difficulties, and long-term developmental challenges. Proper coding requires a thorough understanding of the maternal and delivery factors that may have influenced the newborn's weight, as well as the clinical implications of low birth weight on the infant's health and care needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in maternal health conditions affecting birth weight
  • Differentiation between low birth weight and other weight categories
  • Documentation of delivery complications and their impact on birth weight
  • Need for accurate weight measurement and classification

Audit Risk Factors

  • Inadequate documentation of maternal health history
  • Failure to document delivery complications
  • Misclassification of birth weight categories
  • Lack of follow-up documentation on newborn health outcomes

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of the newborn's weight, gestational age, and any complications during delivery or in the neonatal period.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of any associated conditions such as respiratory distress syndrome or hypoglycemia.

Pediatrics

Documentation Requirements

Comprehensive documentation of the newborn's growth and development, including follow-up visits and any interventions required.

Common Clinical Scenarios

Pediatric assessments of low birth weight infants for developmental milestones and health monitoring.

Billing Considerations

Consider the long-term implications of low birth weight on pediatric health and development.

Coding Guidelines

Inclusion Criteria

Use P07.17 When
  • Follow the official ICD
  • CM coding guidelines for perinatal conditions, ensuring accurate documentation of birth weight, gestational age, and any maternal or delivery complications that may impact the newborn's health

Exclusion Criteria

Do NOT use P07.17 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 newborn in the NICU.

Documentation Requirements

Document the newborn's weight, gestational age, and any complications.

Specialty Considerations

Neonatologists should ensure comprehensive documentation of the infant's condition.

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 the ability to capture the nuances of neonatal care and the associated risks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of low birth weight conditions, improving the ability to capture the nuances of neonatal care and the associated risks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of low birth weight conditions, improving the ability to capture the nuances of neonatal care and the associated risks.

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 as low birth weight?

Low birth weight can result from various maternal factors such as inadequate prenatal care, maternal malnutrition, smoking, substance abuse, and chronic health conditions. Delivery complications like preterm labor and placental issues also play a significant role.