P22.0

P22.0: Respiratory 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.

Check P22.0 with the rest of the claim: free scrubber

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

Their own Excludes1 notes name this code, so the conflict is not listed above.

J80Acute respiratory distress syndrome
J96Respiratory failure, not elsewhere classified
P28.11Resorption atelectasis without respiratory distress syndrome
R06Abnormalities of breathing
R09Other symptoms and signs involving the circulatory and respiratory system
R09.2Respiratory arrest
T71Asphyxiation

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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Alphabetic index entries that lead here

Hyaline membrane(disease) (lung) (pulmonary) (newborn)
IRDS(type I)
RDS(newborn) (type I)
Respiratory›distress syndrome(newborn) (type I)
Syndrome›cardiorespiratory distress, newborn(idiopathic)
Syndrome›IRDS(idiopathic respiratory distress, newborn)
Syndrome›RDS(respiratory distress syndrome, newborn)
Disease, diseased›hyaline›membrane(lung) (newborn)
Syndrome›idiopathic›cardiorespiratory distress, newborn
Syndrome›pulmonary›hypoperfusion(idiopathic)
Syndrome›respiratory›distress›newborn(idiopathic) (type I)

Code history

Unchanged in every release from FY2024 to FY2027.