Extremely low birth weight newborn, less than 500 grams
ICD-10 P07.01 is a billable code used to indicate a diagnosis of extremely low birth weight newborn, less than 500 grams.
P07.01 refers to newborns who are classified as extremely low birth weight (ELBW), defined as those weighing less than 500 grams at birth. This condition is often associated with significant perinatal complications, including respiratory distress syndrome, intraventricular hemorrhage, and necrotizing enterocolitis. ELBW infants are at a higher risk for long-term developmental issues and require specialized neonatal intensive care. Factors contributing to extremely low birth weight can include maternal conditions such as preeclampsia, gestational diabetes, and infections, as well as complications during delivery like preterm labor or placental abruption. The management of ELBW infants involves a multidisciplinary approach, including neonatologists, nurses, and other healthcare professionals, to provide comprehensive care that addresses their unique needs.
Detailed records of birth weight, gestational age, and any complications during delivery are essential. Documentation should also include the infant's clinical course in the NICU.
Common scenarios include management of respiratory distress, monitoring for signs of intraventricular hemorrhage, and nutritional support for growth.
Accurate coding requires understanding the nuances of neonatal care, including the impact of maternal health on newborn outcomes.
Pediatric documentation should include follow-up assessments of growth and development, as well as any ongoing health issues stemming from low birth weight.
Pediatric scenarios may involve managing chronic conditions that arise from being an ELBW infant, such as asthma or developmental delays.
Pediatric coders must be aware of the long-term implications of ELBW and how they affect coding for subsequent visits.
Used for the initial assessment of an ELBW infant in the NICU.
Documentation must include the infant's weight, gestational age, and any immediate complications.
Neonatologists must ensure that all relevant factors are documented to support the coding.
Key factors include the infant's exact birth weight, gestational age, any maternal health conditions that may have contributed to the low birth weight, and details of any complications during delivery or in the NICU.
