Is P28.1 a billable ICD-10-CM code?

No. P28.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does P28.1 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).

P28.1

P28.1 — Other and unspecified atelectasis of newborn

Non-billable headerICD-10-CM

P28.1 is a non-billable header ICD-10-CM code for other and unspecified atelectasis of newborn. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

P28.1 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 P28.1

3 child codes. Green means billable.

Related codes at this level

Codes that share P28. If P28.1 is not quite right, the correct code is usually one of these.

Questions about P28.1

Is P28.1 a billable ICD-10-CM code?: No. P28.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does P28.1 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).