P28.4
P28.4: Other apnea of newborn
Non-billable headerICD-10-CM
P28.4 is a non-billable header ICD-10-CM code for other 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.
- primary sleep apnea of newborn (P28.3-)
Other codes that can never be billed with P28.4
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
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 P28.4
5 child codes. Green means billable.