KA22.0

ICD-11 MMS 2026-01

Exceptionally large newborn

Description

An exceptionally large baby is defined as having a weight at birth of > 4500 g, regardless of gestational age at birth.

Coding note

When both birth weight and gestational age are available, priority of assignment should be given to birth weight.

Coding note from above levels

Conditions arising in the perinatal period, even though death or morbidity occurs later, should, as far as possible, be coded to chapter 19, which takes precedence over chapters containing codes for diseases by their anatomical site. For children less than 28 days old, assume that a reported condition developed in the perinatal period, unless the duration is stated and the onset was after the first completed week of life.

Index terms

  • Exceptionally large newborn
  • Birth weight 4500 grams or more
  • Oversize fetus
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  • excessively large fetus or infant
  • macrosomia

Excludes

  • KB60.0 – Syndrome of infant of mother with gestational diabetes
  • KB60.1 – Syndrome of infant of a diabetic mother, type 1 or 2, nongestational, insulin dependent

Exclusions from above levels

  • 01 – Certain infectious or parasitic diseases - acquired after birth
  • 02 – Neoplasms
  • 05 – Endocrine, nutritional or metabolic diseases
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  • 08 – Certain congenital diseases of the nervous system
  • 20 – Congenital malformations, deformations and chromosomal abnormalities
  • 22 – Injury, poisoning or certain other consequences of external causes
  • 3A10 – Hereditary haemolytic anaemia
  • 4A01.03 – Transient hypogammaglobulinaemia of infancy
  • 9B71.3 – Retinopathy of prematurity
  • BC43 – congenital cardiomyopathy
  • DA93.0 – Paralytic ileus
  • EA50.Z – Pemphigus neonatorum
  • EH40.00 – Cradle cap
  • http://id.who.int/icd/entity/588616678 – Gastroenteritis or colitis of infectious origin
  • http://id.who.int/icd/entity/609214049 – Congenital gonococcal infection

Sibling codes

  • KA22.1 – Large newborn for gestational age
  • KA22.2 – Post-term newborn
  • KA22.3 – Postmaturity syndrome

Foundation entity

Exceptionally large newborn – http://id.who.int/icd/entity/1556758218

Part of: KA22: Disorders of newborn related to long gestation or high birth weight › 19: Certain conditions originating in the perinatal period