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ICD-10/P05.19

P05.19 ICD-10-CM Code: Newborn small for gestational age, other

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Newborn small for gestational age, other is a billable ICD-10-CM diagnosis code (P05.19).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for P05.19 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Newborn small for gestational age, 2500 grams and over

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Newborn small for gestational age, other
    FY2017 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of P05.19 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • P00-P96 — Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96) (P00-P96) [Hierarchy]
  • P05-P08 — Disorders of newborn related to length of gestation and fetal growth [Hierarchy]

Referenced by Excludes1 notes

  • P05.2 — Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age [Excludes1](via P05.1.-): “newborn affected by fetal malnutrition with small for gestational age (P05.1-)” · check together
  • P07.0 — Extremely low birth weight newborn [Excludes1](via P05.-): “low birth weight due to slow fetal growth and fetal malnutrition (P05.-)” · check together
  • P07.1 — Other low birth weight newborn [Excludes1](via P05.-): “low birth weight due to slow fetal growth and fetal malnutrition (P05.-)” · check together

Clinical classification (CCSR)

  • PNL002 — Short gestation; low birth weight; and fetal growth retardation [CCSR]

Potential MS-DRG

  • DRG 795 — NORMAL NEWBORN [MS-DRG]: “NORMAL NEWBORN (MDC 15)”

MDC crossing · procedures

  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period [MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”

Index entries

  • Small-for-dates (infant), specified NEC[Index term]
  • Small-for-dates (infant), with weight of, 2500 grams and over[Index term]

Nearest codes (24)

  • P05 — Disorders of newborn related to slow fetal growth and fetal malnutrition [Sibling]
  • P05.0 — Newborn light for gestational age [Sibling]
  • P05.00 — Newborn light for gestational age, unspecified weight [Sibling]
  • P05.01 — Newborn light for gestational age, less than 500 grams [Sibling]
  • P05.02 — Newborn light for gestational age, 500-749 grams [Sibling]
  • P05.03 — Newborn light for gestational age, 750-999 grams [Sibling]
  • P05.04 — Newborn light for gestational age, 1000-1249 grams [Sibling]
  • P05.05 — Newborn light for gestational age, 1250-1499 grams [Sibling]
  • and 16 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):PNL002 — Short gestation; low birth weight; and fetal growth retardation (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 1 MS-DRG: DRG 795 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name P05.19 or its code family.

3 Excludes1 notes: P05.2 (via P05.1.-), P07.0 (via P05.-), P07.1 (via P05.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to P05.19 in its code family, with their registry titles.

  • P05.11 — Newborn small for gestational age, less than 500 grams
  • P05.12 — Newborn small for gestational age, 500-749 grams
  • P05.13 — Newborn small for gestational age, 750-999 grams
  • P05.14 — Newborn small for gestational age, 1000-1249 grams
  • P05.15 — Newborn small for gestational age, 1250-1499 grams
  • P05.16 — Newborn small for gestational age, 1500-1749 grams
  • P05.17 — Newborn small for gestational age, 1750-1999 grams
  • P05.18 — Newborn small for gestational age, 2000-2499 grams
  • P05.2 — Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age
  • P05.9 — Newborn affected by slow intrauterine growth, unspecified

View all codes in the P05 family

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Small-for-dates (infant), specified NEC
  • Small-for-dates (infant), with weight of, 2500 grams and over