P28.30 — Primary sleep apnea of newborn, unspecified
P28.30 is a billable, specific ICD-10-CM code for primary sleep apnea of newborn, unspecified. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Transient oxygen desaturation spells of newborn during sleep
Risk adjustment
P28.30 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.
Medicare coverage
P28.30 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
How P28.30 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P28.30.
- Spells, transient oxygen desaturation of newborn›during sleep
- Newborn›apnea›primary
- Newborn›apnea›sleep(central) (obstructive) (primary)
- Apnea, apneic›newborn›sleep›primary
Related codes at this level
Codes that share P28.3. If P28.30 is not quite right, the correct code is usually one of these.
Questions about P28.30
- Is P28.30 a billable ICD-10-CM code?
- Yes. P28.30 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does P28.30 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).