Is P28.89 a billable ICD-10-CM code?

Yes. P28.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does P28.89 sit in the tabular list?

Certain conditions originating in the perinatal period (P00-P96), in the block Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).

What cannot be coded together with P28.89?

P28.89 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

P28.89

P28.89 — Other specified respiratory conditions of newborn

Billable / specific codeICD-10-CM

P28.89 is a billable, specific ICD-10-CM code for other specified respiratory conditions of newborn. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

early congenital syphilitic rhinitis (A50.05)

Inclusion terms

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

Congenital laryngeal stridor
Sniffles in newborn
Snuffles in newborn

Other codes that can never be billed with P28.89

These codes carry an Excludes1 note pointing at P28.89. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading P28.89 alone.

Q31Congenital malformations of larynx
R06.1Stridor
J38Diseases of vocal cords and larynx, not elsewhere classified

Risk adjustment

P28.89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

P28.89 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How P28.89 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to P28.89.

Anaerosis of newborn
Dyspnea›newborn
Laryngismus›congenital
Sniffles›newborn
Snuffles›newborn
Stridor›congenital(larynx)
Abnormal, abnormality, abnormalities›pulmonary›function, newborn
Effusion›pleura, pleurisy, pleuritic, pleuropericardial›newborn
Insufficiency, insufficient›pulmonary›newborn
Paralysis, paralytic›respiratory›congenital
Paralysis, paralytic›respiratory›newborn
Disease, diseased›respiratory›newborn›specified type NEC

Related codes at this level

Codes that share P28.8. If P28.89 is not quite right, the correct code is usually one of these.

P28.81Respiratory arrest of newborn

Questions about P28.89

Is P28.89 a billable ICD-10-CM code?: Yes. P28.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does P28.89 sit in the tabular list?: Certain conditions originating in the perinatal period (P00-P96), in the block Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29).
What cannot be coded together with P28.89?: P28.89 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.