P08.1

P08.1: Other heavy for gestational age newborn

Billable / specific codeICD-10-CM

P08.1 is a billable, specific ICD-10-CM code for other heavy for gestational age newborn. It is valid for submission on a claim.

Check P08.1 with the rest of the claim: free scrubber

Excludes1: never code together

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

newborn with a birth weight of 4500 or more (P08.0)
syndrome of infant of diabetic mother (P70.1)
syndrome of infant of mother with gestational diabetes (P70.0)

Inclusion terms

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

Other newborn heavy- or large-for-dates regardless of period of gestation
Usually implies a birth weight of 4000 g. to 4499 g.

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Heavy-for-dates NEC(infant) (4000g to 4499g)
Large-for-dates NEC(infant) (4000g to 4499g)
Large›baby(regardless of gestational age) (4000g to 4499g)
Birth›weight›4000 grams to 4499 grams

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under P08