2021 ICD-10-CM Diagnosis Code P05.17

Newborn small for gestational age, 1750-1999 grams

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
  • P05.17 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM P05.17 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of P05.17 - other international versions of ICD-10 P05.17 may differ.
ICD-10-CM Coding Rules
  • P05.17 should be used on the newborn record - not on the maternal record.
The following code(s) above P05.17 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P05.17:
  • P00-P96
    2021 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • tetanus neonatorum (A33)
    Certain conditions originating in the perinatal period
  • P05.1
    ICD-10-CM Diagnosis Code P05.1

    Newborn small for gestational age

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Newborn small-and-light-for-dates
    • Newborn small-for-dates
    • Weight and length below 10th percentile for gestational age
    Newborn small for gestational age
ICD-10-CM P05.17 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert P05.17 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to P05.17:
  • Small-for-dates (infant) P05.10
    ICD-10-CM Diagnosis Code P05.10

    Newborn small for gestational age, unspecified weight

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record

ICD-10-CM Codes Adjacent To P05.17
P05.08 …… 2000-2499 grams
P05.09 …… 2500 grams and over
P05.1 Newborn small for gestational age
P05.10 …… unspecified weight
P05.11 …… less than 500 grams
P05.12 …… 500-749 grams
P05.13 …… 750-999 grams
P05.14 …… 1000-1249 grams
P05.15 …… 1250-1499 grams
P05.16 …… 1500-1749 grams
P05.17 …… 1750-1999 grams
P05.18 …… 2000-2499 grams
P05.19 …… other
P05.2 Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age
P05.9 Newborn affected by slow intrauterine growth, unspecified
P07 Disorders of newborn related to short gestation and low birth weight, not elsewhere classified
P07.0 Extremely low birth weight newborn
P07.00 …… unspecified weight
P07.01 …… less than 500 grams
P07.02 …… 500-749 grams
P07.03 …… 750-999 grams

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.