Preterm newborn, gestational age 28 completed weeks
ACA/HHS
HCC 245
RAF Varies by metal level
Index trail
Preterm newborn
See Tabular List: P07.31
P07, Disorders of newborn related to short gestation and low birth weight, not elsewhere classified
P07.3, Preterm [premature] newborn [other]
P07.31, Preterm newborn, gestational age 28 completed weeks
Selected code, source checked for the selected effective period
Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Preterm newborn
See Tabular List: P07.31
P07, Disorders of newborn related to short gestation and low birth weight, not elsewhere classified
P07.3, Preterm [premature] newborn [other]
P07.31, Preterm newborn, gestational age 28 completed weeks
Selected code, source checked for the selected effective period
Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
HHS-HCC
HCC 245
HHS-HCC 245; HHS-HCC 2026 benefit year
RAF: Varies by metal level
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by the HCC Buddy Coding TeamClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by the HCC Buddy Coding TeamMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Preterm newborn, gestational age 28 completed weeks
ACA/HHS
HCC 245
RAF Varies by metal level
Code
P07.31
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.