Is P28 a billable ICD-10-CM code?

No. P28 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P28 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).

P28

P28 — Other respiratory conditions originating in the perinatal period

Non-billable headerICD-10-CM

P28 is a non-billable header ICD-10-CM code for other respiratory conditions originating in the perinatal period. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, congenital malformations of the respiratory system (Q30-Q34)

Other codes that can never be billed with P28

These codes carry an Excludes1 note pointing at P28. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P28 alone.

P22.8Other respiratory distress of newborn
P22.9Respiratory distress of newborn, unspecified
P28.2Cyanotic attacks of newborn
Q31Congenital malformations of larynx
Q33.6Congenital hypoplasia and dysplasia of lung
R06Abnormalities of breathing
R06.1Stridor
R06.81Apnea, not elsewhere classified

Risk adjustment

P28 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.

Code to one of these instead P28

8 child codes. Green means billable.

Questions about P28

Is P28 a billable ICD-10-CM code?: No. P28 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P28 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).