2025 ICD-10-CM code P28.81
(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) Chapter 17: Certain conditions originating in the perinatal period (P00-P96) Feed
Respiratory arrest of a newborn infant.
Medical necessity for coding P28.81 is established by the occurrence of a documented respiratory arrest in a newborn, requiring immediate resuscitation and intervention to restore breathing and maintain life. The medical necessity is intrinsically linked to the life-threatening nature of the condition.
The clinical responsibility for managing a newborn experiencing respiratory arrest involves immediate resuscitation efforts by the attending physician, neonatologist, or other qualified healthcare professional. This includes establishing an airway, providing ventilation support (e.g., bag-mask ventilation, intubation), and administering necessary medications as determined by the specific situation.
- Chapter 17: Certain conditions originating in the perinatal period (P00-P96)
- P28.81 falls under the broader category of respiratory and cardiovascular disorders specific to the perinatal period (P19-P29) within Chapter 17 of the ICD-10-CM classification.
In simple words: This code describes when a newborn baby stops breathing.It's used only for babies up to 28 days old and requires immediate medical care.
This ICD-10-CM code classifies respiratory arrest occurring in a newborn infant during the perinatal period (from birth through the first 28 days of life).It's crucial to note that this code applies only to newborns and should never be used for maternal records.The arrest is a cessation of breathing, requiring immediate medical intervention.This code should be used in conjunction with other relevant codes as needed to fully document the clinical picture.
Example 1: A premature infant delivered via cesarean section exhibits absent respiratory effort and cyanosis immediately after birth.After resuscitation, the infant is intubated and transferred to the neonatal intensive care unit (NICU). Code P28.81 is assigned., A full-term infant is born vaginally with a meconium-stained amniotic fluid. After birth, the infant develops respiratory distress and eventually respiratory arrest. Resuscitation is initiated, including endotracheal intubation and mechanical ventilation.Code P28.81 is assigned, along with codes for meconium aspiration and respiratory distress., A newborn presents with apnea and bradycardia shortly after birth during routine assessment in the delivery room. The condition is successfully managed with bag-mask ventilation. The baby recovers within a few minutes, but Code P28.81 is still used to document the respiratory arrest event.
Thorough documentation is necessary, including the timing of the respiratory arrest relative to birth, resuscitation efforts employed (bag-mask ventilation, intubation, medication administration), response to treatment, and any underlying conditions that may have contributed to the event.Detailed notes by the attending physician or healthcare provider should be provided in the medical record.
** Accurate coding requires careful documentation of the timing, severity, and management of the respiratory arrest.Ensure appropriate documentation to support the use of this code.
- Payment Status: Active
- Specialties:Neonatology, Obstetrics, Pediatrics
- Place of Service:Inpatient Hospital, Birthing Center, Emergency Room - Hospital