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2025 ICD-10-CM code P05.1

Newborn small for gestational age, where both weight and length are below the 10th percentile for gestational age.

Refer to the official ICD-10-CM coding guidelines for appropriate use of this code, especially regarding the differentiation from other perinatal growth-related conditions.

The diagnosis of P05.1 requires a thorough assessment of the newborn's weight and length relative to the gestational age, indicating a significant deviation from expected growth parameters.This deviation necessitates further investigation to rule out underlying causes and ensure appropriate postnatal care.

Obstetrician, Neonatologist, Pediatrician

IMPORTANT:Related codes include P05.0 (Light for gestational age) and P05.2 (Fetal malnutrition without mention of light or small for gestational age).The choice of code depends on the specific clinical findings and whether both length and weight are below the 10th percentile.

In simple words: This code means the baby was born smaller than expected for how long the mother was pregnant.The baby's weight and length were both below average for their gestational age.

This code, P05.1, classifies newborns exhibiting symmetric growth restriction, characterized by both weight and length measurements falling below the 10th percentile for their gestational age.It signifies inadequate fetal growth, potentially stemming from various maternal or placental factors, resulting in a smaller-than-expected infant at birth.The diagnosis is based on standardized growth charts comparing the infant's weight and length to gestational age norms.Further specification may be needed regarding the degree of growth restriction.

Example 1: A 38-week gestation newborn weighing 2.0 kg and measuring 42 cm, falling below the 10th percentile for both weight and length. , A mother with poorly controlled gestational diabetes delivers a 36-week gestation baby weighing 1.8 kg and measuring 40 cm, exhibiting features of symmetric growth restriction., A baby born at 40 weeks gestation weighing 2.2kg and measuring 44cm. Both parameters are below the 10th percentile. The mother had hypertension throughout her pregnancy.

Detailed prenatal history, including maternal health conditions (e.g., hypertension, diabetes, infections), placental assessment (if available), ultrasound measurements of fetal growth throughout pregnancy, birth weight and length measurements, and neonatal physical examination findings.

** Further investigation into the etiology of symmetric intrauterine growth restriction is crucial for management and to identify potential long-term health implications for the newborn.The fifth digit may be added to further specify the degree of growth restriction.

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