ICD-10 · PDGM grouping
P05 Disorders of newborn related to slow fetal growth and fetal malnutrition
All 22 codes in the P05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
22
Can lead a claim
20
Cannot lead a claim
2
What CMS assigns to P05
20 of the 22 codes group to MMTA - Other; 2 are assigned no clinical group. None of the 22 is assigned a comorbidity subgroup. 20 of the 22 can lead a claim.
Every code in P05
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| P05.0 Newborn light for gestational age | ||||
| P05.00 | Newborn light for gestational age, unspecified weight | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P05.01 | Newborn light for gestational age, less than 500 grams | Can lead a claim | A | None |
| P05.02 | Newborn light for gestational age, 500-749 grams | Can lead a claim | A | None |
| P05.03 | Newborn light for gestational age, 750-999 grams | Can lead a claim | A | None |
| P05.04 | Newborn light for gestational age, 1000-1249 grams | Can lead a claim | A | None |
| P05.05 | Newborn light for gestational age, 1250-1499 grams | Can lead a claim | A | None |
| P05.06 | Newborn light for gestational age, 1500-1749 grams | Can lead a claim | A | None |
| P05.07 | Newborn light for gestational age, 1750-1999 grams | Can lead a claim | A | None |
| P05.08 | Newborn light for gestational age, 2000-2499 grams | Can lead a claim | A | None |
| P05.09 | Newborn light for gestational age, 2500 grams and over | Can lead a claim | A | None |
| P05.1 Newborn small for gestational age | ||||
| P05.10 | Newborn small for gestational age, unspecified weight | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P05.11 | Newborn small for gestational age, less than 500 grams | Can lead a claim | A | None |
| P05.12 | Newborn small for gestational age, 500-749 grams | Can lead a claim | A | None |
| P05.13 | Newborn small for gestational age, 750-999 grams | Can lead a claim | A | None |
| P05.14 | Newborn small for gestational age, 1000-1249 grams | Can lead a claim | A | None |
| P05.15 | Newborn small for gestational age, 1250-1499 grams | Can lead a claim | A | None |
| P05.16 | Newborn small for gestational age, 1500-1749 grams | Can lead a claim | A | None |
| P05.17 | Newborn small for gestational age, 1750-1999 grams | Can lead a claim | A | None |
| P05.18 | Newborn small for gestational age, 2000-2499 grams | Can lead a claim | A | None |
| P05.19 | Newborn small for gestational age, other | Can lead a claim | A | None |
| P05.2 | Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational ageCMS: NB aff by fetal malnut not light or small for gestatnl age | Can lead a claim | A | None |
| P05.9 | Newborn affected by slow intrauterine growth, unspecified | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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