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ICD-10 Guide
ICD-10 CodesP08.22

P08.22

Billable

Prolonged gestation of newborn

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

Code Description

ICD-10 P08.22 is a billable code used to indicate a diagnosis of prolonged gestation of newborn.

Key Diagnostic Point:

Prolonged gestation, defined as a pregnancy that extends beyond 42 weeks, can lead to various complications for the newborn. This condition is often associated with maternal factors such as obesity, diabetes, and advanced maternal age, which can affect placental function and fetal development. Newborns with prolonged gestation may experience increased risks of meconium aspiration syndrome, macrosomia, and perinatal asphyxia. Additionally, the likelihood of requiring interventions such as induction of labor or cesarean delivery increases. Clinically, these infants may present with signs of postmaturity, including dry, peeling skin, long fingernails, and a lack of vernix caseosa. Monitoring and management of these newborns are crucial to mitigate potential complications, and accurate coding is essential for appropriate care and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in gestational age assessment methods
  • Differentiation between prolonged gestation and other gestational age-related conditions
  • Documentation of maternal factors influencing gestation
  • Potential for associated complications requiring additional coding

Audit Risk Factors

  • Inadequate documentation of gestational age
  • Failure to link maternal conditions to newborn outcomes
  • Misclassification of newborn complications
  • Lack of clarity in clinical notes regarding delivery method

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including gestational age, birth weight, and any complications observed at birth.

Common Clinical Scenarios

NICU admissions for meconium aspiration syndrome or hypoglycemia in post-term infants.

Billing Considerations

Ensure that all maternal factors and delivery complications are documented to support the coding of prolonged gestation.

Pediatrics

Documentation Requirements

Pediatric evaluations should include developmental assessments and any ongoing management of complications related to prolonged gestation.

Common Clinical Scenarios

Follow-up visits for developmental delays or feeding issues in infants born post-term.

Billing Considerations

Consider the long-term implications of prolonged gestation on pediatric health outcomes.

Coding Guidelines

Inclusion Criteria

Use P08.22 When
  • Follow official ICD
  • 10 guidelines for coding perinatal conditions, ensuring that all relevant maternal and newborn factors are documented
  • Use additional codes for any complications that arise

Exclusion Criteria

Do NOT use P08.22 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 newborns requiring evaluation after prolonged gestation.

Documentation Requirements

Document the newborn's condition and any complications observed.

Specialty Considerations

Neonatologists should ensure thorough assessments 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 perinatal conditions, enabling better tracking of prolonged gestation and its complications, which can improve patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, enabling better tracking of prolonged gestation and its complications, which can improve patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, enabling better tracking of prolonged gestation and its complications, which can improve patient care and outcomes.

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 are the common complications associated with prolonged gestation?

Common complications include meconium aspiration syndrome, macrosomia, and increased risk of cesarean delivery. Close monitoring of the newborn is essential to manage these risks.