P05.15 Newborn small for gestational age, 1250-1499 grams

Billable ICD-10-CM code, FY2026.

Applies from P05.1 Newborn small for gestational age

Applicable to

• Newborn small-and-light-for-dates
• Newborn small-for-dates
• Weight and length below 10th percentile for gestational age

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 764.15 "Light-for-dates" with signs of fetal malnutrition, 1,250-1,499 grams (approximate)

Code annotations containing back-references to P05.15

Back-references to P05.1

• Type 1 Excludes: P05.2 Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age ("newborn affected by fetal malnutrition with small for gestational age (P05.1-)")

Back-references to P05

• Type 1 Excludes: P07.0 Extremely low birth weight newborn ("low birth weight due to slow fetal growth and fetal malnutrition (P05.-)")
• Type 1 Excludes: P07.1 Other low birth weight newborn ("low birth weight due to slow fetal growth and fetal malnutrition (P05.-)")

Diagnosis Index entries for P05.15

• Small-for-dates (infant) › with weight of › 1250-1499 grams

Nearby codes

• P05.10 Newborn small for gestational age, unspecified weight
• P05.11 Newborn small for gestational age, less than 500 grams
• P05.12 Newborn small for gestational age, 500-749 grams
• P05.13 Newborn small for gestational age, 750-999 grams
• P05.14 Newborn small for gestational age, 1000-1249 grams
• P05.15 Newborn small for gestational age, 1250-1499 grams (this code)
• P05.16 Newborn small for gestational age, 1500-1749 grams
• P05.17 Newborn small for gestational age, 1750-1999 grams
• P05.18 Newborn small for gestational age, 2000-2499 grams
• P05.19 Newborn small for gestational age, other
• P05.2 Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age