2025 ICD-10-CM code P28.89
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Respiratory and cardiovascular disorders specific to the perinatal period - Other specified respiratory conditions of newborn Certain conditions originating in the perinatal period (P00-P96) Feed
Other specified respiratory conditions of newborn, including congenital laryngeal stridor, sniffles, and snuffles.
Medical necessity for coding P28.89 is established through documentation supporting the presence of clinically significant respiratory symptoms and findings in the newborn.This includes the severity and impact on the newborn's health, requiring appropriate medical intervention and ongoing care.
The clinical responsibility for coding P28.89 rests with the attending physician or healthcare provider directly managing the newborn's care.This involves a thorough physical examination, review of the medical history, and assessment of respiratory symptoms and related findings to ensure proper diagnosis and code selection.
- Certain conditions originating in the perinatal period (P00-P96)
- P28 (Other specified respiratory conditions of newborn)
In simple words: This code is for respiratory problems in newborns that aren't specifically listed elsewhere.Examples include noisy breathing due to a narrow airway, stuffy nose with occasional runny nose, or other similar breathing issues.
This code encompasses various respiratory conditions in newborns not otherwise specified, such as congenital laryngeal stridor (noise during breathing caused by a narrowing of the airway), sniffles (nasal congestion with occasional discharge), and snuffles (similar to sniffles, but potentially indicating a more serious condition).
Example 1: A newborn presents with inspiratory stridor (noisy breathing during inhalation) and respiratory distress. After a thorough evaluation, the diagnosis of congenital laryngeal stridor is made, and code P28.89 is appropriately assigned., A neonate exhibits persistent nasal congestion and occasional clear nasal discharge (sniffles).No other significant respiratory findings are noted.Code P28.89 can be used in this scenario., A premature infant displays recurrent episodes of apnea (cessation of breathing) and oxygen desaturation. These episodes are not consistently related to sleep and do not meet criteria for primary sleep apnea, making P28.89 a suitable code.
Complete documentation should include a detailed history of the pregnancy, birth, and postnatal period.Specific notes should detail respiratory symptoms (e.g., stridor, nasal congestion, apnea, tachypnea), physical examination findings, results of any diagnostic tests (e.g., pulse oximetry, blood gas analysis), and the physician's rationale for selecting P28.89.
** When coding P28.89, always ensure that all other relevant codes for the newborn's condition have been considered.The presence of other conditions (e.g., congenital anomalies) should also be coded appropriately.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center