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v1.0.0
ICD-10 Guide
ICD-10 CodesP07.32

P07.32

Billable

Preterm newborn, gestational age 29 completed weeks

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

Code Description

ICD-10 P07.32 is a billable code used to indicate a diagnosis of preterm newborn, gestational age 29 completed weeks.

Key Diagnostic Point:

P07.32 refers to a preterm newborn who has completed 29 weeks of gestation. This classification is critical in neonatology as it highlights the increased risks associated with prematurity, including respiratory distress syndrome, intraventricular hemorrhage, and feeding difficulties. Newborns at this gestational age are often admitted to the Neonatal Intensive Care Unit (NICU) for close monitoring and management of their health conditions. Maternal factors such as hypertension, diabetes, or infections can contribute to preterm birth, necessitating a thorough review of maternal health history. Delivery complications, including premature rupture of membranes or placental abruption, may also play a role in the infant's condition. Accurate coding of P07.32 is essential for appropriate treatment planning, resource allocation, and tracking of outcomes in this vulnerable population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of preterm infants
  • Need for detailed maternal history and delivery complications
  • Potential for multiple co-morbidities requiring additional coding
  • Differentiation from other gestational age codes

Audit Risk Factors

  • Inadequate documentation of gestational age
  • Failure to capture maternal health factors
  • Misclassification of delivery complications
  • Omission of co-morbid conditions

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed records of gestational age, birth weight, and any immediate complications post-delivery.

Common Clinical Scenarios

Management of respiratory distress syndrome, monitoring for signs of infection, and nutritional support in the NICU.

Billing Considerations

Ensure accurate tracking of growth parameters and developmental milestones during NICU stay.

Pediatrics

Documentation Requirements

Follow-up care documentation including growth assessments and developmental screenings.

Common Clinical Scenarios

Outpatient follow-up for preterm infants, addressing feeding issues and developmental delays.

Billing Considerations

Consider the long-term implications of prematurity on health outcomes and developmental progress.

Coding Guidelines

Inclusion Criteria

Use P07.32 When
  • Follow the official ICD
  • CM guidelines for coding perinatal conditions, ensuring accurate documentation of gestational age and associated maternal factors
  • Use additional codes for any co
  • morbid conditions or complications

Exclusion Criteria

Do NOT use P07.32 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 of a preterm infant in the NICU.

Documentation Requirements

Document gestational age, birth weight, and any immediate complications.

Specialty Considerations

Neonatologists should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of preterm conditions, improving the ability to track outcomes and resource utilization in neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of preterm conditions, improving the ability to track outcomes and resource utilization in neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of preterm conditions, improving the ability to track outcomes and resource utilization in neonatal care.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Care

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Care

Frequently Asked Questions

What are the key factors to consider when coding for preterm newborns?

Key factors include accurate documentation of gestational age, maternal health conditions, delivery complications, and any associated co-morbidities. It is essential to ensure that all relevant information is captured to support the coding and billing process.