P28.81
P28.81: Respiratory arrest of newborn
Billable / specific codeICD-10-CM
P28.81 is a billable, specific ICD-10-CM code for respiratory arrest of newborn. It is valid for submission on a claim.
Check P28.81 with the rest of the claim: free scrubberOther codes that can never be billed with P28.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
P28.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 212 Respiratory Arrest0.370 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
P28.81 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Arrest, arrested›respiratory›newborn
- Newborn›affected by›respiratory arrest
Code history
Unchanged in every release from FY2024 to FY2027.