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.

Check P22.9 with the rest of the claim: free scrubber

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

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

R06Abnormalities of breathing
T71Asphyxiation

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

P22.9 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Distress›respiratory›newborn

Code history

Unchanged in every release from FY2024 to FY2027.