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P22.0

P22.0Respiratory distress syndrome of newborn

Billable / specific codeICD-10-CM

P22.0 is a billable, specific ICD-10-CM code for respiratory distress syndrome of newborn. It is valid for submission on a claim.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • respiratory arrest of newborn (P28.81)
  • respiratory failure of newborn NOS (P28.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Cardiorespiratory distress syndrome of newborn
  • Hyaline membrane disease
  • Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
  • Pulmonary hypoperfusion syndrome
  • Respiratory distress syndrome, type I

Other codes that can never be billed with P22.0

These codes carry an Excludes1 note pointing at P22.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P22.0 alone.

  • P28.11Resorption atelectasis without respiratory distress syndrome
  • R09Other symptoms and signs involving the circulatory and respiratory system
  • R09.2Respiratory arrest
  • J80Acute respiratory distress syndrome
  • J96Respiratory failure, not elsewhere classified

Risk adjustment

P22.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 213 Cardio-Respiratory Failure and Shock0.370 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

How P22.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P22.0.

  • Hyaline membrane(disease) (lung) (pulmonary) (newborn)
  • IRDS(type I)
  • RDS(newborn) (type I)
  • Respiratorydistress syndrome(newborn) (type I)
  • Syndromecardiorespiratory distress, newborn(idiopathic)
  • SyndromeIRDS(idiopathic respiratory distress, newborn)
  • SyndromeRDS(respiratory distress syndrome, newborn)
  • Disease, diseasedhyalinemembrane(lung) (newborn)
  • Syndromeidiopathiccardiorespiratory distress, newborn
  • Syndromepulmonaryhypoperfusion(idiopathic)
  • Syndromerespiratorydistressnewborn(idiopathic) (type I)

Related codes at this level

Codes that share P22. If P22.0 is not quite right, the correct code is usually one of these.

Questions about P22.0

Is P22.0 a billable ICD-10-CM code?
Yes. P22.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P22.0 sit in the tabular list?
Certain conditions originating in the perinatal period (P00-P96), in the block Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.