P07.3
P07.3 — Preterm [premature] newborn [other]
Non-billable headerICD-10-CM
P07.3 is a non-billable header ICD-10-CM code for preterm [premature] newborn [other]. 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.
- 28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation.
- Prematurity NOS
Risk adjustment
P07.3 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.
Code to one of these instead P07.3
10 child codes. Green means billable.
- P07.30Preterm newborn, unspecified weeks of gestation
- P07.31Preterm newborn, gestational age 28 completed weeks
- P07.32Preterm newborn, gestational age 29 completed weeks
- P07.33Preterm newborn, gestational age 30 completed weeks
- P07.34Preterm newborn, gestational age 31 completed weeks
- P07.35Preterm newborn, gestational age 32 completed weeks
- P07.36Preterm newborn, gestational age 33 completed weeks
- P07.37Preterm newborn, gestational age 34 completed weeks
- P07.38Preterm newborn, gestational age 35 completed weeks
- P07.39Preterm newborn, gestational age 36 completed weeks
Related codes at this level
Codes that share P07. If P07.3 is not quite right, the correct code is usually one of these.
Questions about P07.3
- Is P07.3 a billable ICD-10-CM code?
- No. P07.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P07.3 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).