Macrosomia ICD-10-CM Codes
ICD-10 Codes Used for Macrosomia: Discover the essential ICD-10-CM codes for diagnosing and documenting cases of macrosomia, or excessive birth weight, in 2023.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Macrosomia?
Macrosomia refers to a newborn significantly larger than average, often weighing more than 8 pounds, 13 ounces (4,000 grams). Accurate coding for this condition is crucial for both diagnosis and treatment, as well as for medical record-keeping and billing. The ICD-10-CM system offers specific codes for macrosomia that enable healthcare providers to classify and manage these cases efficiently.
Here are some commonly used ICD-10-CM codes for macrosomia:
P08.0: Newborn (suspected to be) affected by maternal hypertensive disorders
This code is used when it's suspected that the newborn's macrosomia is related to maternal hypertensive disorders.
P08.1: Newborn (suspected to be) affected by other maternal medical conditions
This code is used when it is suspected that the newborn's macrosomia is due to other maternal medical conditions.
P08.2: Newborn (suspected to be) affected by maternal complications of pregnancy
This code is applied when it's suspected that maternal complications during pregnancy contributed to the baby's macrosomia.
P14.0: Erb's paralysis due to birth injury
This code is used when macrosomia leads to birth injury affecting the brachial plexus, commonly known as Erb's paralysis.
P22.0: Respiratory distress syndrome of newborn
This code can be used when the macrosomic baby experiences respiratory distress syndrome.
Which Macrosomia ICD Codes are Billable:
- P08.0: Yes
- P08.1: Yes
- P08.2: Yes
- P14.0: Yes
- P22.0: Yes
Clinical Information
- Macrosomia increases the risk of complications during childbirth.
- It may be associated with maternal diabetes or obesity.
- The condition may necessitate a cesarean section to minimize the risk of birth injuries.
- Post-birth, the baby may be at increased risk for low blood sugar levels.
- Ongoing monitoring is essential, as these babies may be at higher risk for obesity and diabetes later in life.
Synonyms Include:
- Large for Gestational Age (LGA)
- Excessive Birth Weight
- Overweight Newborn
- Gigantism in Newborn
- Fetal Overgrowth
Commonly asked questions
ICD-10-CM codes for macrosomia should be used for medical documentation, clinical diagnosis, and billing purposes. They help to standardize this condition, making it easier for healthcare providers to deliver effective care.
Common treatments may include careful monitoring of the baby's blood sugar levels, possibly a cesarean section to prevent birth injuries, and ongoing pediatric care to monitor development.
A diagnosis code for macrosomia classifies the condition based on its associated complications or suspected causes. It is a standardized language for healthcare providers and is vital for accurate billing and statistical data collection.
