P07.3 ICD-10-CM Code: Preterm [premature] newborn [other]
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 3 inclusion terms
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for P07.3 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on P07.3 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- the listed conditions, without further specification, as the cause of morbidity or additional care, in newborn
Source: inherited from P07
Inclusion Terms
Alternative terms the tabular list files under this code.
- 28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation.
- Prematurity NOS
Coder workflow for P07.3
MedCoder structured workflow — derived from this code’s own official record
Before you code P07.3
- P07.3 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewP07.30, P07.31, P07.32, P07.33, P07.34, P07.35, P07.36, P07.37, P07.38, P07.39
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath P07.3?
Yes → Select that code and continue the checks below on its own page.
No → P07.3 cannot be reported as written; query for the specificity its subcategory needs.ReviewP07.30, P07.31, P07.32, P07.33, P07.34, P07.35, P07.36, P07.37, P07.38, P07.39
Consider P07.3. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Contextual Map
Every relationship of P07.3 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]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P05-P08 — Disorders of newborn related to length of gestation and fetal growth[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Nearest codes (31)
- P07 — Disorders of newborn related to short gestation and low birth weight, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.0 — Extremely low birth weight newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.00 — Extremely low birth weight newborn, unspecified weight[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.01 — Extremely low birth weight newborn, less than 500 grams[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.02 — Extremely low birth weight newborn, 500-749 grams[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.03 — Extremely low birth weight newborn, 750-999 grams[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.1 — Other low birth weight newborn[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- P07.10 — Other low birth weight newborn, unspecified weight[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 23 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can P07.3 be billed directly?
No. P07.3 (Preterm [premature] newborn [other]) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "P07.3 — Preterm [premature] newborn [other]." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/p07.3-preterm-premature-newborn-other
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPreterm [premature] newborn [other]
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to P07.3 in its code family, with their registry titles.
- P07.22 — Extreme immaturity of newborn, gestational age 23 completed weeks
- P07.23 — Extreme immaturity of newborn, gestational age 24 completed weeks
- P07.24 — Extreme immaturity of newborn, gestational age 25 completed weeks
- P07.25 — Extreme immaturity of newborn, gestational age 26 completed weeks
- P07.26 — Extreme immaturity of newborn, gestational age 27 completed weeks
- P07.30 — Preterm newborn, unspecified weeks of gestation
- P07.31 — Preterm newborn, gestational age 28 completed weeks
- P07.32 — Preterm newborn, gestational age 29 completed weeks
- P07.33 — Preterm newborn, gestational age 30 completed weeks
- P07.34 — Preterm newborn, gestational age 31 completed weeks