266 Codes for extremely low birth weight, low birth weight, extreme immaturity, and preterm birth are found in category P07, disorders of newborn related to short gestation and low birth weight, not elsewhere classified. The first 2 instructions the follow also apply to codes in category P08, used to report long gestation and high birth weight. The exclusion note (Excludes 1) indicates that codes in category P07 are never reported in conjunction with codes in category P05. Note: When both birth weight and gestational age of the newborn are available, both should be coded with birth weight sequenced before gestational age Includes: the listed conditions, without further specification, as the cause of morbidity or additional care, in newborn Excludes 1: low birth weight due to slow fetal growth and fetal malnutrition (P05.-) Beyond the guidelines and instructions of the tabular list for perinatal conditions are other differences, such as the absence of ICD-10-CM codes for the following conditions: Light for dates without mention of fetal malnutrition, 2,500 g and over Light for dates with signs of fetal malnutrition, 2,500 g and over Thirty seven or more completed weeks of gestation This aligns ICD-10-CM codes with current definitions of prematurity and low birth weight that do not include these conditions. These are the most significant differences in the guidelines and instructions for reporting conditions that originate in the perinatal period with ICD-10-CM. For information on ICD-10-CM codes for live-born infants, see “Crosswalking ICD-9-CM to ICD-10-CM: Coding for Live-born Neonates,” an online-exclusive article in the February 2012 AAP Pediatric Coding Newsletter™, at www.coding.aap.org/content.aspx?aid=11683. Note: The American Academy of Pediatrics has submitted a code proposal to the ICD Coordination and Maintenance Committee to consider adding in codes that more appropriately crosswalk over from ICD-9-CM code category V29. Currently, there is no way to report suspected and subsequently ruled out perinatal conditions. If approved, on October 1, 2015, there will be new codes for observation for suspected conditions in the perinatal period. Appendix B-18 Transitioning to 10: Guidelines for Chapter 16 (continued from page 265)
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