2025 ICD-10-CM code P08.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal Conditions - Disorders of newborn related to length of gestation and fetal growth Certain conditions originating in the perinatal period (P00-P96) Feed
Exceptionally large newborn baby; birth weight of 4500 grams or more.
Medical necessity for coding P08.0 is established by documenting the newborn's exceptionally high birth weight, usually exceeding 4500 grams. Additional investigations and management may be necessary depending on associated clinical findings and complications.
Obstetricians, neonatologists, and pediatricians are primarily responsible for the care of exceptionally large newborns.Their responsibilities include assessing the newborn for any potential complications associated with macrosomia, such as birth trauma, hypoglycemia, and respiratory distress. Further management depends on the underlying causes and the baby's condition.
In simple words: This code means the baby was born unusually large, weighing 9.92 pounds or more.Doctors use this to note the baby's size, which might mean further checks are needed.
This code, P08.0, classifies an exceptionally large newborn baby, typically defined as having a birth weight of 4500 grams (9.92 pounds) or more.It is used to indicate a birth weight significantly above the average, potentially suggesting underlying conditions requiring further investigation. This code is exclusively for newborn records and should not be used for maternal records.Note that this code excludes conditions such as congenital malformations, chromosomal abnormalities, endocrine disorders, metabolic diseases, injuries, poisonings, neoplasms, and neonatal tetanus.
Example 1: A 39-year-old woman delivers a baby boy weighing 5200 grams (11.46 lbs) at term.The baby is noted to have P08.0 as a primary diagnosis. Additional assessment is required for potential complications such as hypoglycemia or shoulder dystocia., A mother with gestational diabetes delivers a baby girl weighing 4800 grams (10.58 lbs). While the baby appears healthy at birth, she is admitted to the NICU for monitoring of blood glucose levels, given the mother's medical history and the baby's weight. The infant receives P08.0 code., A mother with no known risk factors delivers a baby boy at 42 weeks gestation weighing 4600 grams (10.14 lbs).The baby shows no signs of distress and is discharged home with standard postnatal care.The baby receives P08.0 code.
Maternal medical history (including gestational diabetes, weight gain during pregnancy), detailed obstetrical history, fetal growth monitoring data (ultrasound reports), newborn birth weight and length, Apgar scores, any complications during labor and delivery (e.g., shoulder dystocia),newborn physical examination findings, and any subsequent investigations or treatments.
** While a high birth weight itself doesn't always indicate a problem, it often warrants closer observation to identify and manage any potential complications.
- Payment Status: Active
- Specialties:Obstetrics, Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Birthing Center