P28.49

P28.49: Other apnea of newborn

Billable / specific codeICD-10-CM

P28.49 is a billable, specific ICD-10-CM code for other apnea of newborn. It is valid for submission on a claim.

Check P28.49 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Apnea of prematurity

Excludes2 inherited from the categories above P28.49

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

P28.49 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›prematurity
Apnea, apneic›newborn›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.