P05.1
P05.1: Newborn small for gestational age
Non-billable headerICD-10-CM
P05.1 is a non-billable header ICD-10-CM code for newborn small for gestational age. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Newborn small-and-light-for-dates
- Newborn small-for-dates
- Weight and length below 10th percentile for gestational age
Other codes that can never be billed with P05.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead P05.1
10 child codes. Green means billable.
- P05.10Newborn small for gestational age, unspecified weight
- P05.11Newborn small for gestational age, less than 500 grams
- P05.12Newborn small for gestational age, 500-749 grams
- P05.13Newborn small for gestational age, 750-999 grams
- P05.14Newborn small for gestational age, 1000-1249 grams
- P05.15Newborn small for gestational age, 1250-1499 grams
- P05.16Newborn small for gestational age, 1500-1749 grams
- P05.17Newborn small for gestational age, 1750-1999 grams
- P05.18Newborn small for gestational age, 2000-2499 grams
- P05.19Newborn small for gestational age, other