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Home/Diagnosis/ICD-10 Coding for Prematurity

ICD-10 Coding for Prematurity

P07.20
P07.30

Complete ICD-10-CM coding and documentation guide for icd-10 coding for prematurity includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Preterm birth
Premature infant
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Key Information: ICD-10 Coding for Prematurity

Essential facts and insights about ICD-10 Coding for Prematurity

Use ICD-10 code P07.20 for extreme immaturity of newborn, unspecified weeks of gestation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Extreme immaturity of newborn, unspecified weeks of gestation

Billable Code
P07.20
Billable

Diagnostic Criteria

  • • Gestational age must be explicitly documented.

Applicable To

  • • Newborn less than 28 completed weeks of gestation

Important Notes

  • • Ensure gestational age is documented to avoid queries.

Preterm newborn, unspecified weeks of gestation

Billable Code
P07.30
Billable

Applicable To

  • • Newborn 28-36 completed weeks of gestation

Important Notes

  • • Ensure gestational age is documented to avoid queries.
Ancillary Codes

Additional codes that may be used with this diagnosis

P07.0

Low birth weight

Use when birth weight is less than 2500 grams.

P07.1

Low birth weight

Use when birth weight is less than 2500 grams.

Frequently Asked Questions

What is the ICD-10 code for prematurity?

The ICD-10 codes for prematurity are P07.20 for extreme immaturity (less than 28 weeks) and P07.30 for other preterm newborns (28-36 weeks).

How is prematurity documented for ICD-10 coding?

Prematurity documentation must include specific gestational age in weeks and days, along with birth weight if applicable, to ensure accurate ICD-10 coding.

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