P08.1
Billable

Other heavy for gestational age newborn

Billable / Specific Code

What is Other heavy for gestational age newborn?

ICD-10-CM P08.1 is the diagnosis code for Other heavy for gestational age newborn. 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 billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for P08.1

✅ This Code Includes

  • Other newborn heavy- or large-for-dates regardless of period of gestation
  • Usually implies a birth weight of 4000 g. to 4499 g.

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as P08.1. They are mutually exclusive:

  • newborn with a birth weight of 4500 or more (P08.0)
  • syndrome of infant of diabetic mother (P70.1)
  • syndrome of infant of mother with gestational diabetes (P70.0)

ICD-10-CM Code Hierarchy

Understanding where P08.1 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is P08.1 a billable ICD-10-CM code?

Yes, P08.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does P08.1 mean?

P08.1 is the ICD-10-CM diagnosis code for "Other heavy for gestational age newborn". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of P08.1?

The parent code of P08.1 is P08 ("Disorders of newborn related to long gestation and high birth weight"). P08.1 provides a more specific classification within this category.

What section is P08.1 in?

P08.1 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.

When should I use P08.1?

Use P08.1 when the patients documented diagnosis matches "Other heavy for gestational age newborn" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other heavy for gestational age newborn?

The ICD-10-CM code for Other heavy for gestational age newborn is P08.1.

Can P08.1 be used for primary diagnosis?

Yes, P08.1 can be used as a primary diagnosis code since it is billable and specific.

What chapter is P08.1 in?

P08.1 is in Chapter 16 of the ICD-10-CM Tabular List.

What conditions are excluded from P08.1?

Type 1 Excludes for P08.1 include: newborn with a birth weight of 4500 or more (P08.0); syndrome of infant of diabetic mother (P70.1); syndrome of infant of mother with gestational diabetes (P70.0).

Is P08.1 valid for 2026?

Yes, P08.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousP08.0Exceptionally large newborn babyNext →P08.2Late newborn, not heavy for gestational age
Code Details
P08.1
Other heavy for gestational age newborn
Billable / Specific Code
16 — Certain conditions originating in the perinatal period (P00-P96)
P05-P08 — Disorders of newborn related to length of gestation and fetal growth
2026 ICD-10-CM