2025 ICD-10-CM code P28.5
(Active) Effective Date: N/A Revision Date: N/A Respiratory - Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) Certain conditions originating in the perinatal period (P00-P96) Feed
Respiratory failure of newborn.
No specific modifiers are typically applied to ICD-10 codes.
Medical necessity is established by clinical findings indicating inadequate gas exchange in the newborn, necessitating respiratory interventions to support life and prevent long-term complications.
Neonatal specialists, pediatricians, and respiratory therapists are responsible for diagnosis, treatment, and management of respiratory failure in newborns.
- Certain conditions originating in the perinatal period (P00-P96)
- P28 (Other respiratory conditions originating in the perinatal period)
In simple words: Breathing problems in a newborn baby. This means the baby's lungs aren't working properly, and they're not getting enough oxygen.
Respiratory failure in a newborn, encompassing inadequate gas exchange, typically manifesting as hypoxemia and/or hypercapnia.This can stem from various causes including, but not limited to, respiratory distress syndrome, congenital anomalies, infections, or other perinatal complications.It's crucial to differentiate this from respiratory arrest or distress, which are distinct entities.
Example 1: A premature infant born at 28 weeks gestation develops respiratory distress syndrome and subsequently progresses to respiratory failure, requiring mechanical ventilation and surfactant therapy., A term infant with meconium aspiration syndrome exhibits respiratory failure, characterized by hypoxemia and hypercapnia, necessitating intubation and respiratory support., A newborn with a congenital diaphragmatic hernia presents with respiratory failure due to compromised lung development and requires surgical intervention followed by respiratory management.
** The severity of respiratory failure in newborns can range from mild to life-threatening, necessitating appropriate levels of respiratory support and ongoing monitoring.Documentation must clearly reflect the clinical picture and support the assignment of this code.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Neonatology, Pediatrics
- Place of Service:Inpatient Hospital, Neonatal Intensive Care Unit (NICU)