2025 ICD-10-CM code P28.30
(Active) Effective Date: N/A Revision Date: N/A Perinatal conditions - Respiratory and cardiovascular disorders specific to the perinatal period Chapter 16: Certain conditions originating in the perinatal period Feed
Primary sleep apnea of newborn, unspecified; transient oxygen desaturation spells during sleep.
No modifiers are typically applicable to ICD-10 codes.
Medical necessity for coding P28.30 is established by the presence of clinically significant apneic episodes or oxygen desaturation events in the newborn that warrant medical attention and/or intervention.This includes situations where the infant requires supplemental oxygen, stimulation, or monitoring.
The clinical responsibility for coding this diagnosis rests with the neonatologist or pediatrician managing the newborn's care.They must document the presence of sleep apnea and/or oxygen desaturation events.The documentation needs to clearly distinguish this from other types of neonatal apnea.
In simple words: This code is for newborns who have a type of sleep apnea (pauses in breathing during sleep) that isn't clearly defined, along with brief drops in their blood oxygen levels during sleep.This problem starts before or shortly after birth.
This code, P28.30, classifies primary sleep apnea in a newborn, where the specific type of apnea is not specified.It also encompasses transient oxygen desaturation spells occurring during the newborn's sleep.The condition's origin lies in the fetal or perinatal period (before birth through the first 28 days of life), even if subsequent morbidity occurs later.Note that this code excludes other types of apnea in newborns (P28.4-).If applicable, codes for congenital malformations of the respiratory system (Q30-Q34) should also be assigned.
Example 1: A full-term newborn presents with episodes of apnea (cessation of breathing) and oxygen desaturation during sleep, requiring intervention.The apnea is determined to be primary, and the specific subtype cannot be identified., A premature infant exhibits transient episodes of decreased oxygen saturation during sleep, which resolve spontaneously without intervention. This is documented as primary sleep apnea., A newborn with a history of respiratory distress syndrome displays periods of apnea and oxygen desaturation requiring supplemental oxygen. The apnea is classified as primary sleep apnea.
Detailed documentation is crucial, including:
** Always ensure accurate documentation to support the coding.Consult current ICD-10-CM coding guidelines for any updates or clarifications.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Newborn Nursery