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ICD-10 Guide
ICD-10 CodesP07.24

P07.24

Billable

Extreme immaturity of newborn, gestational age 25 completed weeks

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

Code Description

ICD-10 P07.24 is a billable code used to indicate a diagnosis of extreme immaturity of newborn, gestational age 25 completed weeks.

Key Diagnostic Point:

Extreme immaturity of newborn, classified under ICD-10 code P07.24, refers to infants born at a gestational age of 25 completed weeks or earlier. These infants are at a significantly higher risk for a range of complications due to their underdeveloped organ systems. Common issues include respiratory distress syndrome due to immature lungs, intraventricular hemorrhage, and necrotizing enterocolitis. The management of these infants often requires specialized care in a Neonatal Intensive Care Unit (NICU), where they may receive respiratory support, nutritional support via parenteral or enteral routes, and monitoring for potential complications. Maternal factors such as preterm labor, infections, and placental insufficiency can contribute to extreme prematurity. Delivery complications, including emergency cesarean sections or prolonged labor, may also play a role in the birth of these extremely premature infants. The prognosis for infants born at this gestational age varies widely, depending on the presence of complications and the level of care provided.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and complications associated with extreme prematurity.
  • Need for detailed documentation of maternal factors and delivery complications.
  • Potential for multiple co-morbid conditions requiring accurate coding.
  • Frequent updates to clinical guidelines and coding standards.

Audit Risk Factors

  • Inadequate documentation of maternal health factors leading to extreme prematurity.
  • Failure to capture all co-morbid conditions associated with extreme immaturity.
  • Misclassification of gestational age or complications.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of gestational age, birth weight, Apgar scores, and any immediate interventions.

Common Clinical Scenarios

Management of respiratory distress syndrome, monitoring for intraventricular hemorrhage, and nutritional support in the NICU.

Billing Considerations

Accurate coding requires understanding of the infant's clinical course and any complications that arise during hospitalization.

Pediatrics

Documentation Requirements

Comprehensive follow-up documentation including growth parameters, developmental milestones, and ongoing health issues.

Common Clinical Scenarios

Pediatric assessments of infants with perinatal origins of chronic conditions such as bronchopulmonary dysplasia.

Billing Considerations

Pediatric coders must be aware of the long-term implications of extreme prematurity on health outcomes.

Coding Guidelines

Inclusion Criteria

Use P07.24 When
  • Follow the official ICD
  • CM coding guidelines for perinatal conditions, ensuring accurate documentation of gestational age, birth weight, and any complications
  • Use additional codes to capture co
  • morbidities and complications as necessary

Exclusion Criteria

Do NOT use P07.24 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 newborn at high risk due to extreme immaturity.

Documentation Requirements

Document gestational age, birth weight, and any immediate interventions performed.

Specialty Considerations

Neonatologists must ensure thorough documentation of the infant's condition and care plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the complexity of care provided to extremely premature infants. This specificity aids in better tracking of outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the complexity of care provided to extremely premature infants. This specificity aids in better tracking of outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the complexity of care provided to extremely premature infants. This specificity aids in better tracking of outcomes and resource utilization.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

What are the key factors to consider when coding for extreme immaturity?

Key factors include accurate documentation of gestational age, birth weight, and any complications that arise during the NICU stay. It's also important to capture maternal factors that may have contributed to the infant's condition.