Icd-10 Diagnosis Coding Cheat Sheet For Cdsas Page 3

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CHEAT SHEET FOR CDSAs: ICD-10 DIAGNOSIS CODING –
continued (page 3)
Codes for Established Conditions (Automatically Eligible for EarIy Intervention) - continued
Low birth weight –
2.
codes vary based on birth weight: *only babies <1,000 grams are automatically eligible!
For < 1,000 grams:
Extremely low birth weight newborn, _ grams - _ grams birth weight
P07.01
< 500 grams
(< 1 pound, 1.5 ounces)
500 – 749 grams
(1 pound, 1.6 ounces – 1 pound, 10.4 ounces)
P07.02
750 – 999 grams
(1 pound, 10.5 ounces – 2 pounds, 3.2 ounces)
P07.03
For 1,000 – 2,499
grams: Other low birth weight newborn, _ grams - _ grams birth weight
1,000 – 1,249 grams
(2 pounds, 3.3 ounces – 2 pounds, 12.0 ounces)
P07.14
1,250 – 1,499 grams
(2 pounds, 12.1 ounces – 3 pounds, 4.9 ounces)
P07.15
1,500 – 1,749 grams
(3 pounds, 5.0 ounces – 3 pounds, 13.7 ounces)
P07.16
1,750 – 1,999 grams
(3 pounds, 13.8 ounces – 4 pounds, 6.5 ounces)
P07.17
2,000 – 2,499 grams
(4 pounds, 6.6 ounces – 5 pounds, 8.1 ounces)
P07.18
(*use only if IUGR is documented; if records report “SGA”, this may
3. IUGR (Intrauterine Growth Restriction)–
or may not also indicate IUGR – obtain medical records and Consult Medical Staff to clarify)
Codes vary based on birth weight:
Newborn light for gestational age, __ - __ grams birth weight
P05.01
< 500 grams
(< 1 pounds, 1.5 ounces)
500 – 749 grams
(1 pound, 1.6 ounces – 1 pound, 10.4 ounces)
P05.02
750 – 999 grams
(1 pound, 10.5 ounces – 2 pounds, 3.2 ounces)
P05.03
1,000 – 1,249 grams
(2 pounds, 3.3 ounces – 2 pounds, 12.0 ounces)
P05.04
1,250 – 1,499 grams
(2 pounds, 12.1 ounces – 3 pounds, 4.9 ounces)
P05.05
1,500 – 1,749 grams
(3 pounds, 5.0 ounces – 3 pounds, 13.7 ounces)
P05.06
1,750 – 1,999 grams
(3 pounds, 13.8 ounces – 4 pounds, 6.5 ounces)
P05.07
2,000 – 2,499 grams
(4 pounds, 6.6 ounces – 5 pounds, 8.1 ounces)
P05.08
4. Abnormal neurological/neurodevelopmental evaluation at time of NICU discharge:
R29.818
Other symptoms and signs involving the nervous system
(can use at all ages)
R29.898
Other symptoms and signs involving the musculoskeletal system
(can use at all ages)
P92.8
Other feeding problem of newborn
5. Neurological conditions:
P90
Convulsions of newborn
(neonatal seizures)
th
P39.8
History of bacterial meningitis as a newborn -*(this is the
6
choice on the menu under
Other specified perinatal infections)
Stroke – consult medical staff regarding proper code (often listed within P96.89 - other specified conditions
originating in the perinatal period)
5. Intraventricular hemorrhages:
P52.21
Intraventricular non-traumatic hemorrhage, Grade 3, of newborn
P52.22
Intraventricular non-traumatic hemorrhage, Grade 4, of newborn
7. Hydrocephalus or shunt (all codes valid at all ages):
Q03.9 Congenital hydrocephalus
(if details known, can code more specifically)
(implies it’s acquired; usually after IVH)
G91.9 Hydrocephalus
(if details known, can code more specifically)
Z98.2 Presence of a cerebrospinal fluid drainage device (i.e., a shunt)
8.
P91.2
Neonatal cerebral leukomalacia (periventricular leukomalacia or PVL)
9.
P27.1
Bronchopulmonary dysplasia originating in perinatal period
(must require home O2 for eligibility)
10.
P77.3
Stage 3 necrotizing enterocolitis in newborn (NEC requiring surgery)

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