P28.3 — Primary sleep apnea of newborn
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
These codes carry an Excludes1 note pointing at P28.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P28.3 alone.
- P28.2Cyanotic attacks of newborn
- R06.81Apnea, not elsewhere classified
- G47.3Sleep apnea
- G47.33Obstructive sleep apnea (adult) (pediatric)
- 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
Risk adjustment
P28.3 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 P28.3
5 child codes. Green means billable.
Related codes at this level
Codes that share P28. If P28.3 is not quite right, the correct code is usually one of these.
Questions about P28.3
- Is P28.3 a billable ICD-10-CM code?
- No. P28.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does P28.3 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).