Macrosomia ICD-10-CM Codes

What ICD-10 Codes are Used for Macrosomia?

Macrosomia refers to a newborn significantly larger than average, often weighing more than 8 pounds, 13 ounces (4,000 grams). Accurate coding for this condition is crucial for both diagnosis and treatment, as well as for medical record-keeping and billing. The ICD-10-CM system offers specific codes for macrosomia that enable healthcare providers to classify and manage these cases efficiently.

Here are some commonly used ICD-10-CM codes for macrosomia:

P08.0: Newborn (suspected to be) affected by maternal hypertensive disorders

This code is used when it's suspected that the newborn's macrosomia is related to maternal hypertensive disorders.

P08.1: Newborn (suspected to be) affected by other maternal medical conditions

This code is used when it is suspected that the newborn's macrosomia is due to other maternal medical conditions.

P08.2: Newborn (suspected to be) affected by maternal complications of pregnancy

This code is applied when it's suspected that maternal complications during pregnancy contributed to the baby's macrosomia.

P14.0: Erb's paralysis due to birth injury

This code is used when macrosomia leads to birth injury affecting the brachial plexus, commonly known as Erb's paralysis.

P22.0: Respiratory distress syndrome of newborn

This code can be used when the macrosomic baby experiences respiratory distress syndrome.

Which Macrosomia ICD Codes are Billable:

• P08.0: Yes
• P08.1: Yes
• P08.2: Yes
• P14.0: Yes
• P22.0: Yes

Clinical Information

• Macrosomia increases the risk of complications during childbirth.
• It may be associated with maternal diabetes or obesity.
• The condition may necessitate a cesarean section to minimize the risk of birth injuries.
• Post-birth, the baby may be at increased risk for low blood sugar levels.
• Ongoing monitoring is essential, as these babies may be at higher risk for obesity and diabetes later in life.

Synonyms Include:

• Large for Gestational Age (LGA)
• Excessive Birth Weight
• Overweight Newborn
• Gigantism in Newborn
• Fetal Overgrowth