P28.49 — Other apnea of newborn
Is P28.49 billable?
Yes — P28.49 is billable for FY2027. P28.49 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. P28.49 may be submitted for encounters from October 1, 2026 through September 30, 2027.
P28.49 at a glance
| Code | P28.49 |
|---|---|
| Description | Other apnea of newborn |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does P28.49 group to?
P28.49 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 794Neonate with Other Significant Problemsmedical
As a secondary diagnosis, P28.49 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is P28.49 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to P28.49. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Apnea, apneic › prematurity (of) (spells)
- Apnea, apneic › newborn › specified NEC (of) (spells)
Inclusion terms
Alternative wording in documentation that is classified to P28.49.
- Apnea of prematurity
Excludes2 — not included here — inherited from Chapter 16
The conditions below are not part of P28.49, but a patient may have both at the same time. When documentation supports it, P28.49 and the excluded code may both be reported.
Excludes2 — not included here — inherited from P28.4
The conditions below are not part of P28.49, but a patient may have both at the same time. When documentation supports it, P28.49 and the excluded code may both be reported.
- primary sleep apnea of newborn (P28.3-)
Code also — inherited from P28
Two codes may be needed to describe the condition fully. Whether P28.49 is sequenced first depends on the reason for the encounter.
- , if applicable, congenital malformations of the respiratory system (Q30-Q34)
How long has P28.49 existed?
P28.49 first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.