Is P05.2 a billable ICD-10-CM code?

Yes. P05.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P05.2 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Disorders of newborn related to length of gestation and fetal growth (P05-P08).

What cannot be coded together with P05.2?

P05.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P05.2

P05.2 — Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age

Billable / specific codeICD-10-CM

P05.2 is a billable, specific ICD-10-CM code for newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

newborn affected by fetal malnutrition with light for gestational age (P05.0-)
newborn affected by fetal malnutrition with small for gestational age (P05.1-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue

Risk adjustment

P05.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How P05.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P05.2.

Newborn›affected by›fetal›malnutrition not light or small for gestational age

Related codes at this level

Codes that share P05. If P05.2 is not quite right, the correct code is usually one of these.

Questions about P05.2

Is P05.2 a billable ICD-10-CM code?: Yes. P05.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P05.2 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Disorders of newborn related to length of gestation and fetal growth (P05-P08).
What cannot be coded together with P05.2?: P05.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.