Extremely low birth weight newborn
ICD-10 P07.0 is a billable code used to indicate a diagnosis of extremely low birth weight newborn.
Extremely low birth weight (ELBW) newborns are defined as infants born weighing less than 1000 grams (2 lbs 3 oz) at birth. These infants are at a significantly higher risk for a variety of complications due to their underdeveloped organ systems. Maternal factors such as preterm labor, gestational diabetes, hypertension, and inadequate prenatal care can contribute to the occurrence of ELBW. Delivery complications, including placental abruption, preeclampsia, and intrauterine growth restriction (IUGR), also play a critical role in the birth of ELBW infants. The management of ELBW newborns often requires specialized neonatal intensive care, including thermal regulation, respiratory support, nutritional management, and monitoring for complications such as intraventricular hemorrhage (IVH) and necrotizing enterocolitis (NEC). Accurate coding for ELBW is essential for appropriate reimbursement and to reflect the complexity of care provided. Coders must ensure that all relevant maternal and delivery factors are documented to support the use of this code.
Detailed documentation of birth weight, gestational age, and any complications during delivery and postnatal care.
Management of ELBW infants in the NICU, including respiratory distress syndrome and feeding intolerance.
Coders must be aware of the specific interventions and monitoring protocols used in the NICU for ELBW infants.
Documentation of follow-up care, growth parameters, and developmental assessments for ELBW infants.
Pediatric evaluations of ELBW infants for developmental delays or chronic health issues.
Consideration of long-term outcomes and potential late-onset complications in pediatric coding.
Used for the initial evaluation and management of an ELBW infant in the NICU.
Documentation of birth weight, gestational age, and any immediate interventions.
Neonatologists must document the complexity of care provided.
Coding P07.0 is crucial for accurately reflecting the complexity of care required for ELBW infants, which impacts reimbursement and resource allocation in neonatal care.
