P28.31

P28.31: Primary central sleep apnea of newborn

Billable / specific codeICD-10-CM

P28.31 is a billable, specific ICD-10-CM code for primary central sleep apnea of newborn. It is valid for submission on a claim.

Check P28.31 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above P28.31

Not part of this code, but both may be coded when both are present.

Written on P28.3: Primary sleep apnea of newborn

other apnea of newborn (P28.4-)

Risk adjustment

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

Medicare coverage

P28.31 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57306Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Apnea, apneic›newborn›sleep›primary›central

Code history

Unchanged in every release from FY2024 to FY2027.