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ICD-10 Guide
ICD-10 CodesP07.39

P07.39

Billable

Preterm newborn, gestational age 36 completed weeks

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

Code Description

ICD-10 P07.39 is a billable code used to indicate a diagnosis of preterm newborn, gestational age 36 completed weeks.

Key Diagnostic Point:

P07.39 refers to a preterm newborn who is born at a gestational age of 36 completed weeks. This classification is crucial as it highlights the potential risks associated with preterm birth, including respiratory distress syndrome, feeding difficulties, and increased susceptibility to infections. Newborns in this category may require specialized care in a Neonatal Intensive Care Unit (NICU) due to their immature organ systems. Maternal factors such as hypertension, diabetes, or infections can contribute to preterm delivery, and understanding these factors is essential for effective management. Delivery complications, including placental abruption or previa, can also lead to preterm births. Clinicians must monitor these infants closely for developmental milestones and potential long-term complications, as they may face challenges in growth and neurodevelopment. Accurate coding of this condition is vital for appropriate resource allocation and care planning.

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 co-morbid conditions requiring additional coding
  • Documentation of gestational age and birth weight

Audit Risk Factors

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

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, feeding intolerance, and temperature regulation in the NICU.

Billing Considerations

Close monitoring for developmental delays and long-term follow-up care.

Pediatrics

Documentation Requirements

Comprehensive history of maternal health and delivery complications.

Common Clinical Scenarios

Follow-up care for preterm infants, including growth assessments and developmental screenings.

Billing Considerations

Awareness of potential long-term effects of prematurity on health and development.

Coding Guidelines

Inclusion Criteria

Use P07.39 When
  • According to ICD
  • 10 coding guidelines, accurate documentation of gestational age and any associated maternal factors is essential for proper coding
  • Coders should ensure that the gestational age is clearly stated in the medical record to avoid misclassification

Exclusion Criteria

Do NOT use P07.39 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

Clinical Scenario

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

Documentation Requirements

Documentation of the newborn's condition, gestational age, and any interventions performed.

Specialty Considerations

Neonatologists should ensure thorough documentation of all assessments and interventions.

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 accuracy of data collection and resource allocation for neonatal care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of preterm conditions, improving the accuracy of data collection and resource allocation for neonatal care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of preterm conditions, improving the accuracy of data collection and resource allocation for neonatal care.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Guidelines for Coding and Billing

Coding & Billing References

  • •
    American Academy of Pediatrics - Guidelines for Coding and Billing

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 co-morbidities that may affect the newborn's care.