Newborn small for gestational age, 2000-2499 grams
ICD-10 P05.18 is a billable code used to indicate a diagnosis of newborn small for gestational age, 2000-2499 grams.
Newborns classified as small for gestational age (SGA) are those whose birth weight is below the 10th percentile for their gestational age. Specifically, P05.18 refers to infants weighing between 2000 and 2499 grams at birth. This condition can arise due to various maternal factors such as inadequate nutrition, placental insufficiency, or maternal health issues like hypertension or diabetes. Delivery complications, including preterm birth or intrauterine growth restriction (IUGR), can also contribute to SGA status. These infants are at increased risk for perinatal morbidity and mortality, necessitating careful monitoring and management in the neonatal period. Clinical assessment often includes evaluating growth parameters, conducting metabolic screenings, and monitoring for potential complications such as hypoglycemia or respiratory distress. Understanding the underlying causes and implications of SGA is crucial for optimizing care and improving outcomes for affected newborns.
Detailed records of birth weight, gestational age, and any complications during delivery.
Management of SGA infants in the NICU, including monitoring for hypoglycemia and respiratory issues.
Consideration of maternal factors and delivery complications that may have contributed to SGA status.
Comprehensive pediatric assessments including growth charts and developmental milestones.
Follow-up care for SGA infants in outpatient settings, monitoring growth and development.
Awareness of long-term outcomes associated with SGA status and the need for ongoing assessments.
Used for initial assessment of an SGA infant in the nursery.
Document weight, gestational age, and any complications.
Neonatologists should ensure comprehensive evaluations are performed.
Factors include maternal health issues such as hypertension, diabetes, nutritional deficiencies, and placental insufficiency. Environmental factors like smoking and substance abuse can also play a significant role.
