Extreme immaturity of newborn, gestational age less than 23 completed weeks
ICD-10 P07.21 is a billable code used to indicate a diagnosis of extreme immaturity of newborn, gestational age less than 23 completed weeks.
Extreme immaturity of newborn, classified under ICD-10 code P07.21, refers to infants born at a gestational age of less than 23 completed weeks. These newborns are at a significantly increased risk for a variety of complications due to their underdeveloped organ systems. Common issues include respiratory distress syndrome due to immature lungs, intraventricular hemorrhage, and necrotizing enterocolitis. The survival rate for these infants is low, and those who do survive often face long-term health challenges. Maternal factors such as preterm labor, infections, and placental insufficiency can contribute to extreme immaturity. Delivery complications, including emergency cesarean sections or prolonged labor, may also play a role in the birth of these extremely premature infants. Care for these newborns typically occurs in a Neonatal Intensive Care Unit (NICU), where they require specialized monitoring and interventions to support their fragile health status.
Detailed records of gestational age, birth weight, and immediate postnatal care.
Management of respiratory support, monitoring for signs of infection, and nutritional support in the NICU.
Accurate coding requires understanding of the infant's clinical course and any interventions performed.
Comprehensive history of perinatal events and ongoing developmental assessments.
Follow-up care for developmental delays and chronic health issues stemming from extreme prematurity.
Pediatric coders must be aware of the long-term implications of extreme immaturity on health outcomes.
Used for initial assessment of an extremely premature infant in the NICU.
Document the infant's gestational age, weight, and any immediate interventions.
Neonatologists must ensure thorough documentation to support the complexity of care.
Key factors include the infant's gestational age, birth weight, any maternal health issues, delivery complications, and immediate postnatal care interventions.
