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

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

J38Diseases of vocal cords and larynx, not elsewhere classified
J96Respiratory failure, not elsewhere classified
J98Other respiratory disorders
Z03.83Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
Z05.81Observation and evaluation of newborn for suspected condition related to home physiologic monitoring device ruled out
P22.8Other respiratory distress of newborn
P22.9Respiratory distress of newborn, unspecified
P28.2Cyanotic attacks of newborn

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead P28

8 child codes. Green means billable.