ICD-10 · PDGM grouping
P07 Disorders of newborn related to short gestation and low birth weight, not elsewhere classified
All 27 codes in the P07 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
27
Can lead a claim
23
Cannot lead a claim
4
What CMS assigns to P07
23 of the 27 codes group to MMTA - Other; 4 are assigned no clinical group. None of the 27 is assigned a comorbidity subgroup. 23 of the 27 can lead a claim.
Every code in P07
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 |
|---|---|---|---|---|
| P07.0 Extremely low birth weight newborn | ||||
| P07.00 | Extremely low birth weight newborn, unspecified weight | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P07.01 | Extremely low birth weight newborn, less than 500 grams | Can lead a claim | A | None |
| P07.02 | Extremely low birth weight newborn, 500-749 grams | Can lead a claim | A | None |
| P07.03 | Extremely low birth weight newborn, 750-999 grams | Can lead a claim | A | None |
| P07.1 Other low birth weight newborn | ||||
| P07.10 | Other low birth weight newborn, unspecified weight | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P07.14 | Other low birth weight newborn, 1000-1249 grams | Can lead a claim | A | None |
| P07.15 | Other low birth weight newborn, 1250-1499 grams | Can lead a claim | A | None |
| P07.16 | Other low birth weight newborn, 1500-1749 grams | Can lead a claim | A | None |
| P07.17 | Other low birth weight newborn, 1750-1999 grams | Can lead a claim | A | None |
| P07.18 | Other low birth weight newborn, 2000-2499 grams | Can lead a claim | A | None |
| P07.2 Extreme immaturity of newborn | ||||
| P07.20 | Extreme immaturity of newborn, unspecified weeks of gestationCMS: Extreme immaturity of newborn, unsp weeks of gestation | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P07.21 | Extreme immaturity of newborn, gestational age less than 23 completed weeksCMS: Extreme immaturity of NB, gestatnl age < 23 completed weeks | Can lead a claim | A | None |
| P07.22 | Extreme immaturity of newborn, gestational age 23 completed weeksCMS: Extreme immaturity of NB, gestatnl age 23 completed weeks | Can lead a claim | A | None |
| P07.23 | Extreme immaturity of newborn, gestational age 24 completed weeksCMS: Extreme immaturity of NB, gestatnl age 24 completed weeks | Can lead a claim | A | None |
| P07.24 | Extreme immaturity of newborn, gestational age 25 completed weeksCMS: Extreme immaturity of NB, gestatnl age 25 completed weeks | Can lead a claim | A | None |
| P07.25 | Extreme immaturity of newborn, gestational age 26 completed weeksCMS: Extreme immaturity of NB, gestatnl age 26 completed weeks | Can lead a claim | A | None |
| P07.26 | Extreme immaturity of newborn, gestational age 27 completed weeksCMS: Extreme immaturity of NB, gestatnl age 27 completed weeks | Can lead a claim | A | None |
| P07.3 Preterm [premature] newborn [other] | ||||
| P07.30 | Preterm newborn, unspecified weeks of gestation | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| P07.31 | Preterm newborn, gestational age 28 completed weeks | Can lead a claim | A | None |
| P07.32 | Preterm newborn, gestational age 29 completed weeks | Can lead a claim | A | None |
| P07.33 | Preterm newborn, gestational age 30 completed weeks | Can lead a claim | A | None |
| P07.34 | Preterm newborn, gestational age 31 completed weeks | Can lead a claim | A | None |
| P07.35 | Preterm newborn, gestational age 32 completed weeks | Can lead a claim | A | None |
| P07.36 | Preterm newborn, gestational age 33 completed weeks | Can lead a claim | A | None |
| P07.37 | Preterm newborn, gestational age 34 completed weeks | Can lead a claim | A | None |
| P07.38 | Preterm newborn, gestational age 35 completed weeks | Can lead a claim | A | None |
| P07.39 | Preterm newborn, gestational age 36 completed weeks | 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue