P28.4 — Other apnea of newborn
Is P28.4 billable?
No — P28.4 is a non-billable header code. P28.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 5 billable codes beneath P28.4.
P28.4 at a glance
| Code | P28.4 |
|---|---|
| Description | Other apnea of newborn |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of P28.4, but a patient may have both at the same time. When documentation supports it, P28.4 and the excluded code may both be reported.
- primary sleep apnea of newborn (P28.3-)
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P28.4, but a patient may have both at the same time. When documentation supports it, P28.4 and the excluded code may both be reported.
Code also — inherited from P28
Two codes may be needed to describe the condition fully. Whether P28.4 is sequenced first depends on the reason for the encounter.
- , if applicable, congenital malformations of the respiratory system (Q30-Q34)
What codes fall under P28.4? (5)
How long has P28.4 existed?
P28.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2023: P28.4 stopped being billable
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the P28 family? (7)
- P28.0Primary atelectasis of newborn
- P28.1Other and unspecified atelectasis of newbornnot billable
- P28.2Cyanotic attacks of newborn
- P28.3Primary sleep apnea of newbornnot billable
- P28.5Respiratory failure of newborn
- P28.8Other specified respiratory conditions of newbornnot billable
- P28.9Respiratory condition of newborn, unspecified