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ICD-10 Guide
ICD-10 CodesP07.37

P07.37

Billable

Preterm newborn, gestational age 34 completed weeks

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

Code Description

ICD-10 P07.37 is a billable code used to indicate a diagnosis of preterm newborn, gestational age 34 completed weeks.

Key Diagnostic Point:

P07.37 refers to a preterm newborn who has reached a gestational age of 34 completed weeks. This classification is critical in neonatology as it helps identify infants who may be at risk for various complications associated with prematurity. Newborns at this gestational age may exhibit underdeveloped organs, particularly the lungs and brain, leading to respiratory distress syndrome and potential neurological issues. Maternal factors such as hypertension, diabetes, or infections can contribute to preterm delivery, necessitating close monitoring and specialized care. Delivery complications, including placental abruption or previa, can also lead to premature birth. The management of these infants often requires a multidisciplinary approach, including neonatologists, nurses, and respiratory therapists, to address their unique needs and ensure optimal outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among preterm infants.
  • Need for detailed maternal history to understand contributing factors.
  • Potential for multiple co-morbidities requiring additional coding.
  • Documentation of gestational age and delivery complications must be precise.

Audit Risk Factors

  • Inadequate documentation of gestational age.
  • Failure to capture maternal health conditions.
  • Misclassification of delivery complications.
  • Lack of follow-up documentation on neonatal outcomes.

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

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

Common Clinical Scenarios

Management of respiratory distress syndrome, feeding difficulties, and temperature regulation in the NICU.

Billing Considerations

Accurate coding requires understanding of the infant's clinical course and any interventions performed.

Pediatrics

Documentation Requirements

Documentation of developmental milestones and follow-up care for preterm infants.

Common Clinical Scenarios

Routine check-ups for growth and development, management of chronic conditions stemming from prematurity.

Billing Considerations

Pediatricians must be aware of the long-term implications of prematurity on health outcomes.

Coding Guidelines

Inclusion Criteria

Use P07.37 When
  • According to ICD
  • 10 guidelines, accurate coding for P07
  • 37 requires documentation of gestational age, delivery complications, and any associated maternal conditions
  • Coders should ensure that all relevant information is captured to support the diagnosis

Exclusion Criteria

Do NOT use P07.37 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99460CPT Code

Initial hospital care, per day, for evaluation and management of a normal newborn infant

Clinical Scenario

Used for initial assessment of a preterm infant in the NICU.

Documentation Requirements

Documentation of the infant's clinical status and any interventions performed.

Specialty Considerations

Neonatologists must ensure thorough documentation to support the complexity of care provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of preterm infants, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of gestational age and associated complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of preterm infants, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of gestational age and associated complications.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of gestational age and associated complications.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Coding Guidelines

Frequently Asked Questions

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

Key factors include accurate documentation of gestational age, maternal health conditions, delivery complications, and any neonatal interventions. It's essential to capture the full clinical picture to ensure appropriate coding.