Is P07 a billable ICD-10-CM code?

No. P07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P07 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Disorders of newborn related to length of gestation and fetal growth (P05-P08).

P07

P07 — Disorders of newborn related to short gestation and low birth weight, not elsewhere classified

Non-billable headerICD-10-CM

P07 is a non-billable header ICD-10-CM code for disorders of newborn related to short gestation and low birth weight, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Includes

Conditions this code covers.

the listed conditions, without further specification, as the cause of morbidity or additional care, in newborn

Notes

Additional guidance from the ICD-10-CM tabular list.

When both birth weight and gestational age of the newborn are available, both should be coded with birth weight sequenced before gestational age

Risk adjustment

P07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead P07

4 child codes. Green means billable.

Questions about P07

Is P07 a billable ICD-10-CM code?: No. P07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P07 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Disorders of newborn related to length of gestation and fetal growth (P05-P08).