2027 ICD-10-CM Diagnosis Code P28.2Cyanotic attacks of newborn

ICD-10-CM Codes›P00–P96›P19-P29›P28

ICD-10-CM P28.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

P28.2 is a billable ICD-10-CM diagnosis code for cyanotic attacks of newborn. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 18 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory perinatal condition.

Code Identity

ICD-10-CM Code
P28.2
Billable Status
Yes — Valid for Submission
Code Describes
Cyanotic attacks of newborn
Short Description
Cyanotic attacks of newborn
Same as the full description in the CMS dataset.
Parent Code
P28
Other respiratory conditions originating in the perinatal period

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP19-P29Respiratory and cardiovascular disorders specific to the perinatal period
CategoryP28Other respiratory conditions originating in the perinatal period
This CodeP28.2Cyanotic attacks of newborn

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acrocyanosis
  • Blue baby
  • Blue extremities
  • Blue skin
  • Central cyanosis
  • Cocaine-induced acrocyanosis and livedo reticularis
  • Cyanosis
  • Cyanosis of skin
  • Cyanotic attack
  • Finding of color of limb
  • Goes blue
  • Local cyanosis
  • Local disease
  • Neonatal acrocyanosis
  • Neonatal cyanosis
  • Perinatal cyanotic attacks
  • Peripheral cyanosis
  • Pulmonary cyanosis
  • Skin lesion in drug addict

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to P28.2: its own notes plus those printed at P28 and Chapter 16. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From P28 Other respiratory conditions originating in the perinatal period applies to 19 codes
  • if applicable, congenital malformations of the respiratory system (Q30-Q34)

Notes

General instructions on how these codes are used.

From Chapter 16 (P00-P96) Certain conditions originating in the perinatal period applies to 463 codes
  • Codes from this chapter are for use on newborn records only, never on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name P28.2, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming P28.2: they are not reported together with it, unless the two conditions are unrelated.

  • R23.0 Cyanosis
    cyanotic attacks of newborn (P28.2)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL006
Respiratory perinatal condition
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert P28.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
770.83 Cyanotic attack, newborn
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About P28.2Overview

What is the ICD-10 code for cyanotic attacks of newborn?

The ICD-10-CM code for cyanotic attacks of newborn is P28.2 (sometimes written as P282). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is P28.2 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cyanotic attacks of newborn on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does P28.2 group to?

When cyanotic attacks of newborn is the principal diagnosis on an inpatient stay, it groups to MS-DRG 794 (neonate with Other Significant Problems), which carries a relative weight of 1.4934. Higher weights mean higher Medicare reimbursement.

Is P28.2 a CC or MCC?

CMS lists P28.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 18 closely related codes in its exclusion list.

What is the ICD-9 equivalent of P28.2?

Under the General Equivalence Mappings, cyanotic attacks of newborn converts to ICD-9-CM 770.83 (cyanotic attack, newborn). The mapping is a direct match.