ICD-10 P07.22
Billable / SpecificExtreme immaturity of newborn, gestational age 23 completed weeks
About ICD-10-CM P07.22
ICD-10-CM code P07.22 represents Extreme immaturity of newborn, gestational age 23 completed weeks. This is a billable/specific code in the Perinatal Period chapter (block P07). The 2026 edition of ICD-10-CM P07.22 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under P07.22. Per CMS ICD-10-CM Tabular 2026.
- Extreme immaturity of newborn, gestational age 23 weeks, 0 days through 23 weeks, 6 days
Medicare LCD Coverage for P07.22
Local Coverage Determinations (LCDs) from CMS MACs that list P07.22 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing P07.22.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but P07.22 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with P07.22
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert P07.22 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| P07.22 | 76521 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To P07.22
Other codes in section P05-P08 (Disorders of newborn related to length of gestation and fetal growth).
ICD-10 P07.22, Billing FAQ
Is ICD-10 code P07.22 billable? +
Yes, P07.22 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to P07.22? +
ICD-10 P07.22 includes: Extreme immaturity of newborn, gestational age 23 weeks, 0 days through 23 weeks, 6 days.
What ICD-9 codes does P07.22 map to? +
Per CMS GEMs, P07.22 maps to ICD-9 codes: 76521. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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