P28.42

P28.42: Obstructive apnea of newborn

Billable / specific codeICD-10-CM

P28.42 is a billable, specific ICD-10-CM code for obstructive apnea of newborn. It is valid for submission on a claim.

Check P28.42 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above P28.42

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

Written on P28.4: Other apnea of newborn

primary sleep apnea of newborn (P28.3-)

Risk adjustment

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

Medicare coverage

P28.42 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›obstructive
Newborn›apnea›obstructive

Code history

Unchanged in every release from FY2024 to FY2027.