2025 ICD-10-CM code P28.32
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Perinatal conditions - Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) Certain conditions originating in the perinatal period (P00-P96) Feed
Primary obstructive sleep apnea of newborn.
Medical necessity for the diagnosis and management of primary obstructive sleep apnea in newborns is established by the presence of symptoms (apnea, bradycardia, cyanosis, failure to thrive) and objective evidence from polysomnography or cardiorespiratory monitoring confirming the diagnosis and severity of the apnea episodes.The necessity for intervention is based on the risk of complications such as hypoxemia, brain injury, and sudden infant death syndrome.
The clinical responsibility for diagnosing and managing primary obstructive sleep apnea in newborns typically falls on neonatologists or pediatricians.This may involve continuous monitoring, polysomnography, and management of potential complications.
In simple words: Primary obstructive sleep apnea in a newborn means the baby stops breathing repeatedly while sleeping because their airway is blocked. This is different from other breathing pauses in newborns.
Primary obstructive sleep apnea of the newborn is a condition characterized by recurrent episodes of cessation of breathing during sleep due to an obstruction in the upper airway.This is specific to newborns and differs from other apneas of the newborn.The obstruction may be due to anatomical factors, neuromuscular immaturity, or other underlying conditions.It is important to differentiate this from other apnea types in newborns.
Example 1: A premature infant exhibits periods of apnea and bradycardia during sleep, requiring respiratory support and continuous monitoring.Further investigation reveals upper airway obstruction., A full-term newborn presents with symptoms suggestive of sleep apnea, including excessive daytime sleepiness, failure to thrive, and cyanosis.Polysomnography confirms the diagnosis of primary obstructive sleep apnea., A newborn with known craniofacial anomalies is at increased risk for obstructive sleep apnea.Prophylactic monitoring and early intervention are crucial in this case.
Complete history and physical examination documenting respiratory symptoms (apnea, bradycardia, cyanosis).Polysomnography or cardiorespiratory monitoring data showing apneic episodes and their duration.Results of any additional investigations (e.g., imaging studies, genetic testing) to identify underlying causes.Documentation of treatment provided, response to treatment and any complications.
** This code is specific to primary obstructive sleep apnea of the newborn and should not be used for other types of apnea or in older children. Always ensure proper documentation to support the diagnosis.
- Payment Status: Active
- Specialties:Neonatology, Pediatrics, Pulmonology
- Place of Service:Inpatient Hospital, Newborn Nursery