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2025 ICD-10-CM code P28

This code classifies other respiratory conditions that originate during the perinatal period (from birth through the first 28 days of life).

Code P28 should only be used when other, more specific codes are not applicable.Ensure that the condition is indeed originating in the perinatal period and that all other possible diagnoses have been considered and ruled out.

Medical necessity is established by the presence of clinically significant respiratory distress or other symptoms indicating compromised respiratory function in the newborn.Appropriate investigations should rule out more specific diagnoses before using P28.

The clinical responsibility for this code lies with the neonatologist or pediatrician providing care to the newborn.Accurate diagnosis requires a thorough examination, including respiratory assessments, imaging (if necessary), and possibly genetic testing if there is a suspicion of a congenital malformation.

IMPORTANT:If applicable, consider also using codes from Q30-Q34 (congenital malformations of the respiratory system) in conjunction with P28 if the respiratory condition is a congenital malformation.

In simple words: This code is for breathing problems in a baby during the first month of life that don't fit into other, more specific categories.It covers issues that started before birth or in the first 28 days after birth, even if the problem isn't immediately apparent.

ICD-10-CM code P28 encompasses various respiratory conditions affecting newborns within the first 28 days of life.These conditions are not otherwise specified by more precise codes within the P28 category.The code includes conditions originating in the fetal or perinatal period, even if the manifestation of the illness occurs later.It is crucial to note that this code excludes congenital malformations (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injuries (S00-T88), neoplasms (C00-D49), and neonatal tetanus (A33).

Example 1: A newborn presents with persistent tachypnea (rapid breathing) and retractions without an obvious cause, such as a congenital heart defect or pneumonia.After a thorough workup, no specific diagnosis is identified, therefore, code P28 is used., A premature infant demonstrates transient respiratory distress and oxygen requirements immediately after birth but improves within a few days. Further investigation yields no clear cause, so P28 is applied., A full-term infant develops mild respiratory distress and requires intermittent oxygen support for a few weeks following birth.Investigations, including chest X-rays, are normal.Code P28 is assigned.

Detailed neonatal history, including gestational age, birth weight, Apgar scores, presence of meconium aspiration, respiratory support provided (oxygen, ventilation), physical examination findings, and any diagnostic testing results (chest X-rays, blood gases) are required to support the use of P28.

** This code is often used as a placeholder until a more specific diagnosis can be confirmed. The use of code P28 requires careful clinical judgment and documentation.Always check the most recent ICD-10-CM guidelines for the latest updates and clarifications.

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