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ICD-10-CM Codes
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R00-R99
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R50-R69
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R68-
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2023 ICD-10-CM Diagnosis Code R68.13
2023 ICD-10-CM Diagnosis Code R68.13
Apparent life threatening event in infant (ALTE)
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Pediatric Dx (0-17 years)
- R68.13 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 R68.13 became effective on October 1, 2022.
- This is the American ICD-10-CM version of R68.13 - other international versions of ICD-10 R68.13 may differ.
ICD-10-CM Coding Rules
- R68.13 is applicable to pediatric patients aged 0 - 17 years inclusive.
Applicable To- Apparent life threatening event in newborn
- Brief resolved unexplained event (BRUE)
Use AdditionalUse Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
- code(s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE
Code FirstCode First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
- confirmed diagnosis, if known
The following code(s) above
R68.13 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
R68.13:
Approximate Synonyms
- Apparent life threatening event in infant
ICD-10-CM R68.13 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 951 Other factors influencing health status
Convert R68.13 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
- ALTE R68.13 (apparent life threatening event)
- BRUE R68.13 (brief resolved unexplained event)
- Event
- apparent life threatening in newborn and infant R68.13 (ALTE)
- brief resolved unexplained event R68.13 (BRUE)
- 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 2020 2021 2022 2023 Billable/Specific Code Newborn/Neonate Dx (0 years) POA Exempt
Applicable To- Single liveborn infant NOS
- affected by
- apparent life threatening event R68.13 (ALTE)
ICD-10-CM Codes Adjacent To R68.13
R65.10 …… without acute organ dysfunction
R65.11 …… with acute organ dysfunction
R65.20 …… without septic shock
R68 Other general symptoms and signs
R68.0 Hypothermia, not associated with low environmental temperature
R68.1 Nonspecific symptoms peculiar to infancy
R68.11 Excessive crying of infant (baby)
R68.13
Apparent life threatening event in infant (ALTE)
R68.19 Other nonspecific symptoms peculiar to infancy
R68.2 Dry mouth, unspecified
R68.3 Clubbing of fingers
R68.8 Other general symptoms and signs
R68.89 Other general symptoms and signs
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.