P28.3

P28.3: Primary sleep apnea of newborn

Non-billable headerICD-10-CM

P28.3 is a non-billable header ICD-10-CM code for primary sleep apnea of newborn. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

other apnea of newborn (P28.4-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Sleep apnea of newborn NOS

Other codes that can never be billed with P28.3

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

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
P28.2Cyanotic attacks of newborn
R06.81Apnea, not elsewhere classified
G47.3Sleep apnea
G47.33Obstructive sleep apnea (adult) (pediatric)

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 P28.3

5 child codes. Green means billable.