Non-Billable / Non-Specific Code
ICD-10-CM P05.1 is the diagnosis code for Newborn small for gestational age. This code falls under the section "Disorders of newborn related to length of gestation and fetal growth" within Chapter 16 — Certain conditions originating in the perinatal period (P00-P96). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where P05.1 sits in the ICD-10-CM classification helps ensure proper coding:
No, P05.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
P05.1 is the ICD-10-CM diagnosis code for "Newborn small for gestational age". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of P05.1 is P05 ("Disorders of newborn related to slow fetal growth and fetal malnutrition"). P05.1 provides a more specific classification within this category.
P05.1 is located in Section P05-P08 — "Disorders of newborn related to length of gestation and fetal growth" within Chapter 16 of the ICD-10-CM Tabular List.
P05.1 has 10 sub-code(s) that provide more specific detail: P05.10, P05.11, P05.12, P05.13, P05.14 and more.
Use P05.1 when the patients documented diagnosis matches "Newborn small for gestational age" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Newborn small for gestational age is P05.1.
No, P05.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.
P05.1 is in Chapter 16 of the ICD-10-CM Tabular List.
Yes, P05.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.