P05.04
ICD-10-CMThis code signifies a liveborn infant who is small for gestational age, specifically weighing between 1000 and 1249 grams at birth. This condition indicates restricted fetal growth, where the newborn's weight is below the 10th percentile for their gestational age.
Use this code when documentation confirms a liveborn infant's birth weight is within the 1000-1249 gram range and the neonatologist or pediatrician has diagnosed the infant as light for gestational age. This diagnosis is typically based on a comparison of birth weight to a standard growth chart for the infant's documented gestational age.
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