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ICD-10 Guide
ICD-10 CodesP07.2

P07.2

Billable

Extreme immaturity of newborn

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

Code Description

ICD-10 P07.2 is a billable code used to indicate a diagnosis of extreme immaturity of newborn.

Key Diagnostic Point:

Extreme immaturity of newborn (ICD-10 code P07.2) refers to infants born at less than 28 weeks of gestation, who are at significant risk for a variety of complications due to their underdeveloped organ systems. These infants often present with low birth weight, respiratory distress syndrome, and increased susceptibility to infections. Maternal factors such as preterm labor, multiple gestations, and maternal health conditions (e.g., hypertension, diabetes) can contribute to extreme immaturity. Delivery complications, including placental abruption or previa, can also lead to premature birth. The management of these infants typically occurs in a Neonatal Intensive Care Unit (NICU), where they may require advanced respiratory support, thermal regulation, and nutritional interventions. The prognosis for these infants can vary widely, depending on the degree of immaturity and the presence of associated complications. Long-term follow-up is often necessary to monitor for developmental delays and other sequelae.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in gestational age and associated complications
  • Need for detailed documentation of maternal health factors
  • Differentiation from other prematurity codes
  • Potential for multiple co-morbid conditions

Audit Risk Factors

  • Inadequate documentation of gestational age
  • Failure to capture associated complications
  • Misclassification of birth weight categories
  • Lack of clarity in maternal health history

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of gestational age, birth weight, and any complications during delivery and postnatal care.

Common Clinical Scenarios

Infants requiring mechanical ventilation for respiratory distress, management of patent ductus arteriosus, and nutritional support via parenteral or enteral routes.

Billing Considerations

Accurate coding requires thorough documentation of all interventions and outcomes, as well as ongoing assessments of developmental milestones.

Pediatrics

Documentation Requirements

Comprehensive pediatric assessments that include developmental evaluations and follow-up care plans.

Common Clinical Scenarios

Pediatric visits for developmental delays, respiratory issues, or other sequelae stemming from extreme immaturity.

Billing Considerations

Pediatric coders must be aware of the long-term implications of extreme immaturity and ensure that all relevant conditions are captured.

Coding Guidelines

Inclusion Criteria

Use P07.2 When
  • Perinatal coding guidelines emphasize the importance of accurate gestational age documentation, the need for specificity in coding associated conditions, and adherence to the latest ICD
  • 10 updates

Exclusion Criteria

Do NOT use P07.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care for newborns

Clinical Scenario

Used for the initial evaluation and management of an extremely immature newborn in the NICU.

Documentation Requirements

Documentation of the newborn's clinical status, gestational age, and any immediate interventions.

Specialty Considerations

Neonatologists must ensure that all aspects of care are documented to support the complexity of the case.

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 nuances of extreme immaturity and its associated complications.

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 nuances of extreme immaturity and its associated complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of perinatal conditions, improving the ability to capture the nuances of extreme immaturity and its associated complications.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Care Guidelines

Frequently Asked Questions

What are the key factors to document for coding P07.2?

Key factors include the gestational age at birth, birth weight, any maternal health issues, and specific complications encountered during the newborn's care.