Is P22.9 a billable ICD-10-CM code?

Yes. P22.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P22.9 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).

What cannot be coded together with P22.9?

P22.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

P22.9

P22.9 — Respiratory distress of newborn, unspecified

Billable / specific codeICD-10-CM

P22.9 is a billable, specific ICD-10-CM code for respiratory distress of newborn, unspecified. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Other codes that can never be billed with P22.9

These codes carry an Excludes1 note pointing at P22.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P22.9 alone.

R06Abnormalities of breathing
T71Asphyxiation

Risk adjustment

P22.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

P22.9 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57306Billing and Coding: Transthoracic Echocardiography (TTE)

How P22.9 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 P22.9.

Distress›respiratory›newborn

Code history

P22.9 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share P22. If P22.9 is not quite right, the correct code is usually one of these.

Questions about P22.9

Is P22.9 a billable ICD-10-CM code?: Yes. P22.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P22.9 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).
What cannot be coded together with P22.9?: P22.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.