ICD-10-CM Codes
P00-P96 Certain conditions originating in the perinatal period
P19-P29 Respiratory and cardiovascular disorders specific to the perinatal period
P28- Other respiratory conditions originating in the perinatal period

2018/2019 ICD-10-CM Diagnosis Code P28.3

Primary sleep apnea of newborn

2016

2017

2018

2019

Billable/Specific Code

Code on Newborn Record

P28.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM P28.3 became effective on October 1, 2018.
This is the American ICD-10-CM version of P28.3 - other international versions of ICD-10 P28.3 may differ.

ICD-10-CM Coding Rules

P28.3 should be used on the newborn record - not on the maternal record.

Applicable To

Central sleep apnea of newborn
Obstructive sleep apnea of newborn
Sleep apnea of newborn NOS

The following code(s) above P28.3 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 P28.3:

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
P28
ICD-10-CM Diagnosis Code P28
Other respiratory conditions originating in the perinatal period
Type 1 Excludes
- congenital malformations of the respiratory system (Q30-Q34)
Other respiratory conditions originating in the perinatal period

Approximate Synonyms

Neonatal primary apnea
Primary apnea in the newborn

ICD-10-CM P28.3 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

794 Neonate with other significant problems

Convert P28.3 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 P28.3:

Type 1 Excludes: J98
, P28.2
, P28.4
, R06.81
, G47.3
, G47.33

ICD-10-CM Diagnosis Code J98
Other respiratory disorders
Type 1 Excludes
- newborn apnea (P28.4)
- newborn sleep apnea (P28.3)
Type 2 Excludes
- apnea NOS (R06.81)
- sleep apnea (G47.3-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code P28.2
Cyanotic attacks of newborn
Type 1 Excludes
- apnea of newborn (P28.3-P28.4)
ICD-10-CM Diagnosis Code P28.4
Other apnea of newborn
Applicable To
- Apnea of prematurity
- Obstructive apnea of newborn
Type 1 Excludes
- obstructive sleep apnea of newborn (P28.3)
ICD-10-CM Diagnosis Code R06.81
Apnea, not elsewhere classified
Applicable To
- Apnea NOS
Type 1 Excludes
- apnea (of) newborn (P28.4)
- sleep apnea (G47.3-)
- sleep apnea of newborn (primary) (P28.3)
ICD-10-CM Diagnosis Code G47.3
Sleep apnea
Code Also
- any associated underlying condition
Type 1 Excludes
- apnea NOS (R06.81)
- Cheyne-Stokes breathing (R06.3)
- pickwickian syndrome (E66.2)
- sleep apnea of newborn (P28.3)
ICD-10-CM Diagnosis Code G47.33
Obstructive sleep apnea (adult) (pediatric)
Applicable To
- Obstructive sleep apnea hypopnea
Type 1 Excludes
- obstructive sleep apnea of newborn (P28.3)

Diagnosis Index entries containing back-references to P28.3:

Apnea, apneic (of) (spells) R06.81
ICD-10-CM Diagnosis Code R06.81
Apnea, not elsewhere classified
Applicable To
Apnea NOS
Type 1 Excludes
apnea (of) newborn (P28.4)
sleep apnea (G47.3-)
sleep apnea of newborn (primary) (P28.3)
- newborn NEC P28.4
  ICD-10-CM Diagnosis Code P28.4
  Other apnea of newborn
  2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
  Applicable To
  Apnea of prematurity
  Obstructive apnea of newborn
  Type 1 Excludes
  obstructive sleep apnea of newborn (P28.3)
  - sleep P28.3 (central) (obstructive) (primary)
Newborn (infant) (liveborn) (singleton) Z38.2
ICD-10-CM Diagnosis Code Z38.2
Single liveborn infant, unspecified as to place of birth
Applicable To
Single liveborn infant NOS
- apnea P28.4
  ICD-10-CM Diagnosis Code P28.4
  Other apnea of newborn
  2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
  Applicable To
  Apnea of prematurity
  Obstructive apnea of newborn
  Type 1 Excludes
  obstructive sleep apnea of newborn (P28.3)
  - primary P28.3
  - sleep P28.3 (central) (obstructive) (primary)

ICD-10-CM Codes Adjacent To P28.3

P27.1 Bronchopulmonary dysplasia originating in the perinatal period

P27.8 Other chronic respiratory diseases originating in the perinatal period

P27.9 Unspecified chronic respiratory disease originating in the perinatal period

P28 Other respiratory conditions originating in the perinatal period

P28.0 Primary atelectasis of newborn

P28.1 Other and unspecified atelectasis of newborn

P28.10 Unspecified atelectasis of newborn

P28.11 Resorption atelectasis without respiratory distress syndrome

P28.19 Other atelectasis of newborn

P28.2 Cyanotic attacks of newborn

P28.3 Primary sleep apnea of newborn

P28.4 Other apnea of newborn

P28.5 Respiratory failure of newborn

P28.8 Other specified respiratory conditions of newborn

P28.81 Respiratory arrest of newborn

P28.89 Other specified respiratory conditions of newborn

P28.9 Respiratory condition of newborn, unspecified

P29 Cardiovascular disorders originating in the perinatal period

P29.0 Neonatal cardiac failure

P29.1 Neonatal cardiac dysrhythmia

P29.11 Neonatal tachycardia

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

2018/2019 ICD-10-CM Diagnosis Code P28.3

Primary sleep apnea of newborn

Certain conditions originating in the perinatal period

Other respiratory conditions originating in the perinatal period

Other respiratory disorders

Cyanotic attacks of newborn

Other apnea of newborn

Apnea, not elsewhere classified

Sleep apnea

Obstructive sleep apnea (adult) (pediatric)

Apnea, not elsewhere classified

Other apnea of newborn

Single liveborn infant, unspecified as to place of birth

Other apnea of newborn