ICD-10-CM Codes
P00-P96
P19-P29
P28-
2023 ICD-10-CM Diagnosis Code P28.5

2023 ICD-10-CM Diagnosis Code P28.5

Respiratory failure of newborn

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

Code on Newborn Record

P28.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM P28.5 became effective on October 1, 2022.
This is the American ICD-10-CM version of P28.5 - other international versions of ICD-10 P28.5 may differ.

ICD-10-CM Coding Rules

P28.5 should be used on the newborn record - not on the maternal record.

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 P28.5. 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.

respiratory arrest of newborn (
ICD-10-CM Diagnosis Code P28.81
Respiratory arrest of newborn
P28.81
)
respiratory distress of newborn (
ICD-10-CM Diagnosis Code P22.0
Respiratory distress syndrome of newborn
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
Type 2 Excludes
- respiratory arrest of newborn (P28.81)
- respiratory failure of newborn NOS (P28.5)
P22.0-
)

The following code(s) above P28.5 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 P28.5:

P00-P96
2023 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
Code Also
- , if applicable, congenital malformations of the respiratory system (Q30-Q34)
Other respiratory conditions originating in the perinatal period

Approximate Synonyms

Neonatal respiratory failure
Neonatal respiratory insufficiency
Respiratory insufficiency syndrome of newborn

ICD-10-CM P28.5 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

791 Prematurity with major problems
793 Full term neonate with major problems

Convert P28.5 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
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to P28.5:

Type 1 Excludes: P22.8
, P22.9
, J96
, R06
, R09
, R09.2
, R09.2

ICD-10-CM Diagnosis Code P22.8
Other respiratory distress of newborn
Type 1 Excludes
- respiratory arrest of newborn (P28.81)
- respiratory failure of newborn NOS (P28.5)
ICD-10-CM Diagnosis Code P22.9
Respiratory distress of newborn, unspecified
Type 1 Excludes
- respiratory arrest of newborn (P28.81)
- respiratory failure of newborn NOS (P28.5)
ICD-10-CM Diagnosis Code J96
Respiratory failure, not elsewhere classified
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 R06
Abnormalities of breathing
Type 1 Excludes
- acute respiratory distress syndrome (J80)
- respiratory arrest (R09.2)
- respiratory arrest of newborn (P28.81)
- respiratory distress syndrome of newborn (P22.-)
- respiratory failure (J96.-)
- respiratory failure of newborn (P28.5)
ICD-10-CM Diagnosis Code R09
Other symptoms and signs involving the circulatory and respiratory system
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
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)
ICD-10-CM Diagnosis Code R09.2
Respiratory arrest
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: P22.0

ICD-10-CM Diagnosis Code P22.0
Respiratory distress syndrome of newborn
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
Type 2 Excludes
- respiratory arrest of newborn (P28.81)
- respiratory failure of newborn NOS (P28.5)

Diagnosis Index entries containing back-references to P28.5:

Failure, failed
- respiration, respiratory J96.90
  ICD-10-CM Diagnosis Code J96.90
  Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  - newborn P28.5
Inadequate, inadequacy
- pulmonary
  - function R06.89
    ICD-10-CM Diagnosis Code R06.89
    Other abnormalities of breathing
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Breath-holding (spells)
    Sighing
    - newborn P28.5
  - ventilation, newborn P28.5
Insufficiency, insufficient
- respiratory R06.89
  ICD-10-CM Diagnosis Code R06.89
  Other abnormalities of breathing
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Breath-holding (spells)
  Sighing
  - newborn P28.5
Respiration
- insufficient, or poor R06.89
  ICD-10-CM Diagnosis Code R06.89
  Other abnormalities of breathing
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Breath-holding (spells)
  Sighing
  - newborn P28.5

ICD-10-CM Codes Adjacent To P28.5

P28.31 Primary central sleep apnea of newborn

P28.32 Primary obstructive sleep apnea of newborn

P28.33 Primary mixed sleep apnea of newborn

P28.39 Other primary sleep apnea of newborn

P28.4 Other apnea of newborn

P28.40 Unspecified apnea of newborn

P28.41 Central neonatal apnea of newborn

P28.42 Obstructive apnea of newborn

P28.43 Mixed neonatal apnea of newborn

P28.49 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

P29.2 Neonatal hypertension

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

2023 ICD-10-CM Diagnosis Code P28.5

Respiratory failure of newborn

Respiratory arrest of newborn

Respiratory distress syndrome of newborn

Certain conditions originating in the perinatal period

Other respiratory conditions originating in the perinatal period

Other respiratory distress of newborn

Respiratory distress of newborn, unspecified

Respiratory failure, not elsewhere classified

Abnormalities of breathing

Other symptoms and signs involving the circulatory and respiratory system

Respiratory arrest

Respiratory arrest

Respiratory distress syndrome of newborn

Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia

Other abnormalities of breathing

Other abnormalities of breathing

Other abnormalities of breathing