2019 ICD-10-CM Diagnosis Code P28.4

Other apnea of newborn

    2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
  • P28.4 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 P28.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of P28.4 - other international versions of ICD-10 P28.4 may differ.
ICD-10-CM Coding Rules
  • P28.4 should be used on the newborn record - not on the maternal record.
Applicable To
  • Apnea of prematurity
  • Obstructive apnea of newborn
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as P28.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • obstructive sleep apnea of newborn (
    ICD-10-CM Diagnosis Code P28.3

    Primary sleep apnea of newborn

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Central sleep apnea of newborn
    • Obstructive sleep apnea of newborn
    • Sleep apnea of newborn NOS
    P28.3
    )
The following code(s) above P28.4 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 P28.4:
  • 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

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital malformations of the respiratory system (Q30-Q34)
    Other respiratory conditions originating in the perinatal period
Approximate Synonyms
  • Apnea in the newborn
  • Neonatal apnea
Clinical Information
  • The cessation of breathing in premature infants that lasts for more than 15-20 seconds.
ICD-10-CM P28.4 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 794 Neonate with other significant problems

Convert P28.4 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 P28.4:
  • Type 1 Excludes: J98
    , P28.2
    , R06.81
    ICD-10-CM Diagnosis Code J98

    Other respiratory disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    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

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    ICD-10-CM Diagnosis Code R06.81

    Apnea, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Apnea NOS
    Type 1 Excludes
    • apnea (of) newborn (P28.4)
    • sleep apnea (G47.3-)
    • sleep apnea of newborn (primary) (P28.3)

Diagnosis Index entries containing back-references to P28.4:
  • Apnea, apneic (of) (spells) R06.81
    ICD-10-CM Diagnosis Code R06.81

    Apnea, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Apnea NOS
    Type 1 Excludes
    • apnea (of) newborn (P28.4)
    • sleep apnea (G47.3-)
    • sleep apnea of newborn (primary) (P28.3)
  • Newborn (infant) (liveborn) (singleton) Z38.2
    ICD-10-CM Diagnosis Code Z38.2

    Single liveborn infant, unspecified as to place of birth

      2016 2017 2018 2019 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
    Applicable To
    • Single liveborn infant NOS
    • apnea P28.4
      • obstructive P28.4

ICD-10-CM Codes Adjacent To P28.4
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
P29.12 Neonatal bradycardia

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