2024 ICD-10-CM Diagnosis Code P05.04

Newborn light for gestational age, 1000-1249 grams

ICD-10-CM Code:
P05.04
ICD-10 Code for:
Newborn light for gestational age, 1000-1249 grams
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Certain conditions originating in the perinatal period
    (P00–P96)
    • Disorders of newborn related to length of gestation and fetal growth
      (P05-P08)
      • Disorders of newborn related to slow fetal growth and fetal malnutrition
        (P05)

P05.04 is a billable diagnosis code used to specify a medical diagnosis of newborn light for gestational age, 1000-1249 grams. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Clinical Classification

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert P05.04 to ICD-9-CM

  • ICD-9-CM Code: 764.04 - Lt-for-dates 1000-1249g
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Birth Weight

What is birth weight?

Birth weight is the first weight of your baby, taken just after being born. A low birth weight means that the baby is less than 5 pounds, 8 ounces. A high birth weight means that the baby is more than 8 pounds, 13 ounces.

What can cause low birth weight?

A baby with a low birth weight can be born too small, too early (premature), or both. This can happen for many different reasons. They include:

  • Health problems in the pregnant parent
  • Taking certain medicines during pregnancy
  • Substance use during pregnancy
  • Infections during pregnancy
  • Being pregnant with multiple babies
  • Problems with the placenta, the organ that brings oxygen and nutrients to the baby
  • Having small parents
  • Genetic conditions in the baby
  • Birth defects

What problems can low birth weight cause?

Babies with low birth weight may be more at risk of certain health problems. They include immediate problems, such as:

  • Breathing problems
  • Infections
  • Hypoglycemia (low blood sugar)
  • Jaundice
  • Trouble keeping warm

There is also a higher risk of longer-term problems, including:

  • Delayed motor and social development
  • Learning disabilities
  • Certain health conditions as an adult, such as heart disease, high blood pressure, diabetes, and obesity

What can cause high birth weight?

Causes of high birth weight can include:

  • Having big parents
  • Diabetes in the pregnant parent
  • Certain genetic conditions
  • Too much weight gain during pregnancy

What problems can high birth weight cause?

High birth weight can be a concern because it can make delivery of the baby difficult and raise the risk of birth injuries. The baby is at higher risk of problems with:

  • Blood sugar
  • Breathing problems
  • Jaundice

Can birth weight problems be prevented?

You may be able to prevent some birth weight problems by:

  • Getting regular checkups during pregnancy
  • Getting the right amount of nutrition and calories during pregnancy
  • Controlling your blood sugar if you have diabetes
  • Avoiding substance use during pregnancy

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.