2019 ICD-10-CM Diagnosis Code P22.0

Respiratory distress syndrome of newborn

    2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
  • P22.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM P22.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of P22.0 - other international versions of ICD-10 P22.0 may differ.
ICD-10-CM Coding Rules
  • P22.0 should be used on the newborn record - not on the maternal record.
Applicable To
  • Cardiorespiratory distress syndrome of newborn
  • Hyaline membrane disease
  • Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
  • Pulmonary hypoperfusion syndrome
  • Respiratory distress syndrome, type I
The following code(s) above P22.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to P22.0:
  • P00-P96
    2019 ICD-10-CM Range P00-P96

    Certain conditions originating in the perinatal period

    Includes
    • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
    Note
    • Codes from this chapter are for use on newborn records only, never on maternal records
    Type 2 Excludes
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • tetanus neonatorum (A33)
    Certain conditions originating in the perinatal period
  • P22
    ICD-10-CM Diagnosis Code P22

    Respiratory distress of newborn

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn NOS (P28.5)
    Respiratory distress of newborn
Approximate Synonyms
  • Respiratory distress syndrome in neonate
  • Respiratory distress syndrome in the newborn
Clinical Information
  • A condition of the newborn marked by dyspnea with cyanosis, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, most frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause.
  • A condition of the newborn marked by dyspnea with cyanosis, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause.
  • A condition of the newborn marked by dyspnea with cyanosis, most frequently occurring in premature infants, children of diabetic mothers and infants delivered by cesarean section, and sometimes with no predisposing cause.
  • A respiratory distress syndrome in newborn infants, usually premature infants with insufficient pulmonary surfactants. The disease is characterized by the formation of a hyaline-like membrane lining the terminal respiratory airspaces (pulmonary alveoli) and subsequent collapse of the lung (pulmonary atelectasis).
ICD-10-CM P22.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 790 Extreme immaturity or respiratory distress syndrome, neonate

Convert P22.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to P22.0:
  • Type 1 Excludes: J80
    , J96
    , P28.11
    , P28.5
    , R09
    , R09.2
    ICD-10-CM Diagnosis Code J80

    Acute respiratory distress syndrome

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Acute respiratory distress syndrome in adult or child
    • Adult hyaline membrane disease
    Type 1 Excludes
    • respiratory distress syndrome in newborn (perinatal) (P22.0)
    ICD-10-CM Diagnosis Code J96

    Respiratory failure, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory distress syndrome (J80)
    • cardiorespiratory failure (R09.2)
    • newborn respiratory distress syndrome (P22.0)
    • postprocedural respiratory failure (J95.82-)
    • respiratory arrest (R09.2)
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn (P28.5)
    ICD-10-CM Diagnosis Code P28.11

    Resorption atelectasis without respiratory distress syndrome

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • resorption atelectasis with respiratory distress syndrome (P22.0)
    ICD-10-CM Diagnosis Code P28.5

    Respiratory failure of newborn

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0-)
    ICD-10-CM Diagnosis Code R09

    Other symptoms and signs involving the circulatory and respiratory system

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory distress syndrome (J80)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress syndrome of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    ICD-10-CM Diagnosis Code R09.2

    Respiratory arrest

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Cardiorespiratory failure
    Type 1 Excludes
    • cardiac arrest (I46.-)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    • respiratory insufficiency (R06.89)
    • respiratory insufficiency of newborn (P28.5)
  • Type 2 Excludes: P27
    , T79
    ICD-10-CM Diagnosis Code P27

    Chronic respiratory disease originating in the perinatal period

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    ICD-10-CM Diagnosis Code T79

    Certain early complications of trauma, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • acute respiratory distress syndrome (J80)
    • complications occurring during or following medical procedures (T80-T88)
    • complications of surgical and medical care NEC (T80-T88)
    • newborn respiratory distress syndrome (P22.0)

Diagnosis Index entries containing back-references to P22.0:
  • Disease, diseased - see also Syndrome
  • Hyaline membrane P22.0 (disease) (lung) (pulmonary) (newborn)
  • IRDS (type I) P22.0
  • RDS (newborn) (type I) P22.0
  • Respiratory - see also condition
  • Syndrome - see also Disease
    • idiopathic
      • cardiorespiratory distress, newborn P22.0
    • pulmonary
      • hypoperfusion P22.0 (idiopathic)
    • respiratory
    • cardiorespiratory distress P22.0 (idiopathic)
    • IRDS P22.0 (idiopathic respiratory distress, newborn)
    • RDS P22.0 (respiratory distress syndrome, newborn)

ICD-10-CM Codes Adjacent To P22.0
P15.5 Birth injury to external genitalia
P15.6 Subcutaneous fat necrosis due to birth injury
P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified
P19 Metabolic acidemia in newborn
P19.0 Metabolic acidemia in newborn first noted before onset of labor
P19.1 Metabolic acidemia in newborn first noted during labor
P19.2 Metabolic acidemia noted at birth
P19.9 Metabolic acidemia, unspecified
P22 Respiratory distress of newborn
P22.0 Respiratory distress syndrome of newborn
P22.1 Transient tachypnea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified
P23 Congenital pneumonia
P23.0 Congenital pneumonia due to viral agent
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.