2026 ICD-10-CM Diagnosis Code P07.15Other low birth weight newborn, 1250-1499 grams

ICD-10-CM Codes›P00–P96›P05-P08›P07

ICD-10-CM P07.15
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P07.15 is a billable ICD-10-CM diagnosis code for other low birth weight newborn, 1250-1499 grams. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 791 through 792. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Short gestation; low birth weight; and fetal growth retardation.

Code Identity

ICD-10-CM Code
P07.15
Billable Status
Yes — Valid for Submission
Code Describes
Other low birth weight newborn, 1250-1499 grams
Short Description
Other low birth weight newborn, 1250-1499 grams
Same as the full description in the CMS dataset.
Parent Code
P07.1
Other low birth weight newborn

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP05-P08Disorders of newborn related to length of gestation and fetal growth
CategoryP07Disorders of newborn related to short gestation and low birth weight, not elsewhere classified
This CodeP07.15Other low birth weight newborn, 1250-1499 grams

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Low
      • birthweight (2499 grams or less)
        • with weight of
          • 1250-1499 grams

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL002
Short gestation; low birth weight; and fetal growth retardation
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

The full article covers:

  • What is birth weight?
  • What can cause low birth weight?
  • What problems can low birth weight cause?
  • What can cause high birth weight?
  • What problems can high birth weight cause?
  • Can birth weight problems be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P07.15 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
765.05 Extreme immat 1250-1499g
Approximate The match is approximate rather than exact.
ICD-9-CM
765.15 Preterm NEC 1250-1499g
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P07.15Overview

Is P07.15 (Other low birth weight newborn) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other low birth weight newborn, 1250-1499 grams on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does P07.15 group to?

When other low birth weight newborn, 1250-1499 grams is the principal diagnosis on an inpatient stay, it groups to MS-DRG 791, 792, with relative weights from 2.4492 to 4.0590 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of P07.15?

Under the General Equivalence Mappings, other low birth weight newborn, 1250-1499 grams converts to ICD-9-CM 765.05 (extreme immat 1250-1499g) and 765.15 (preterm NEC 1250-1499g). The mapping is approximate, so confirm the match fits the documentation.

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.