ICD-10 · PDGM grouping
P05-P08 — Disorders of newborn related to length of gestation and fetal growth
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
53
No clinical group
6
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
47 of the 53 codes in P05-P08 group to MMTA - Other. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in P05-P08
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in P05-P08
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| P0500 | Newborn light for gestational age, unspecified weight | None | Cannot lead a claim |
| P0501 | Newborn light for gestational age, less than 500 grams | A | Can lead a claim |
| P0502 | Newborn light for gestational age, 500-749 grams | A | Can lead a claim |
| P0503 | Newborn light for gestational age, 750-999 grams | A | Can lead a claim |
| P0504 | Newborn light for gestational age, 1000-1249 grams | A | Can lead a claim |
| P0505 | Newborn light for gestational age, 1250-1499 grams | A | Can lead a claim |
| P0506 | Newborn light for gestational age, 1500-1749 grams | A | Can lead a claim |
| P0507 | Newborn light for gestational age, 1750-1999 grams | A | Can lead a claim |
| P0508 | Newborn light for gestational age, 2000-2499 grams | A | Can lead a claim |
| P0509 | Newborn light for gestational age, 2500 grams and over | A | Can lead a claim |
| P0510 | Newborn small for gestational age, unspecified weight | None | Cannot lead a claim |
| P0511 | Newborn small for gestational age, less than 500 grams | A | Can lead a claim |
| P0512 | Newborn small for gestational age, 500-749 grams | A | Can lead a claim |
| P0513 | Newborn small for gestational age, 750-999 grams | A | Can lead a claim |
| P0514 | Newborn small for gestational age, 1000-1249 grams | A | Can lead a claim |
| P0515 | Newborn small for gestational age, 1250-1499 grams | A | Can lead a claim |
| P0516 | Newborn small for gestational age, 1500-1749 grams | A | Can lead a claim |
| P0517 | Newborn small for gestational age, 1750-1999 grams | A | Can lead a claim |
| P0518 | Newborn small for gestational age, 2000-2499 grams | A | Can lead a claim |
| P0519 | Newborn small for gestational age, other | A | Can lead a claim |
| P052 | NB aff by fetal malnut not light or small for gestatnl age | A | Can lead a claim |
| P059 | Newborn affected by slow intrauterine growth, unspecified | A | Can lead a claim |
| P0700 | Extremely low birth weight newborn, unspecified weight | None | Cannot lead a claim |
| P0701 | Extremely low birth weight newborn, less than 500 grams | A | Can lead a claim |
| P0702 | Extremely low birth weight newborn, 500-749 grams | A | Can lead a claim |
| P0703 | Extremely low birth weight newborn, 750-999 grams | A | Can lead a claim |
| P0710 | Other low birth weight newborn, unspecified weight | None | Cannot lead a claim |
| P0714 | Other low birth weight newborn, 1000-1249 grams | A | Can lead a claim |
| P0715 | Other low birth weight newborn, 1250-1499 grams | A | Can lead a claim |
| P0716 | Other low birth weight newborn, 1500-1749 grams | A | Can lead a claim |
| P0717 | Other low birth weight newborn, 1750-1999 grams | A | Can lead a claim |
| P0718 | Other low birth weight newborn, 2000-2499 grams | A | Can lead a claim |
| P0720 | Extreme immaturity of newborn, unsp weeks of gestation | None | Cannot lead a claim |
| P0721 | Extreme immaturity of NB, gestatnl age < 23 completed weeks | A | Can lead a claim |
| P0722 | Extreme immaturity of NB, gestatnl age 23 completed weeks | A | Can lead a claim |
| P0723 | Extreme immaturity of NB, gestatnl age 24 completed weeks | A | Can lead a claim |
| P0724 | Extreme immaturity of NB, gestatnl age 25 completed weeks | A | Can lead a claim |
| P0725 | Extreme immaturity of NB, gestatnl age 26 completed weeks | A | Can lead a claim |
| P0726 | Extreme immaturity of NB, gestatnl age 27 completed weeks | A | Can lead a claim |
| P0730 | Preterm newborn, unspecified weeks of gestation | None | Cannot lead a claim |
| P0731 | Preterm newborn, gestational age 28 completed weeks | A | Can lead a claim |
| P0732 | Preterm newborn, gestational age 29 completed weeks | A | Can lead a claim |
| P0733 | Preterm newborn, gestational age 30 completed weeks | A | Can lead a claim |
| P0734 | Preterm newborn, gestational age 31 completed weeks | A | Can lead a claim |
| P0735 | Preterm newborn, gestational age 32 completed weeks | A | Can lead a claim |
| P0736 | Preterm newborn, gestational age 33 completed weeks | A | Can lead a claim |
| P0737 | Preterm newborn, gestational age 34 completed weeks | A | Can lead a claim |
| P0738 | Preterm newborn, gestational age 35 completed weeks | A | Can lead a claim |
| P0739 | Preterm newborn, gestational age 36 completed weeks | A | Can lead a claim |
| P080 | Exceptionally large newborn baby | A | Can lead a claim |
| P081 | Other heavy for gestational age newborn | A | Can lead a claim |
| P0821 | Post-term newborn | A | Can lead a claim |
| P0822 | Prolonged gestation of newborn | A | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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