2026 ICD-10-CM Diagnosis Code P28.32Primary obstructive sleep apnea of newborn

ICD-10-CM Codes›P00–P96›P19-P29›P28

ICD-10-CM P28.32
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P28.32 is a billable ICD-10-CM diagnosis code for primary obstructive sleep apnea of newborn. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as acute hypercapnic respiratory failure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory perinatal condition.

Code Identity

ICD-10-CM Code
P28.32
Billable Status
Yes — Valid for Submission
Code Describes
Primary obstructive sleep apnea of newborn
Short Description
Primary obstructive sleep apnea of newborn
Same as the full description in the CMS dataset.
Parent Code
P28.3
Primary sleep apnea of newborn

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 CodeP28.32Primary obstructive sleep apnea of newborn

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute hypercapnic respiratory failure
  • Acute hypercapnic respiratory failure due to obstructive sleep apnea
  • AHDC1-related intellectual disability, obstructive sleep apnea, mild dysmorphism syndrome
  • Hypercapnia
  • Hypercapnic respiratory failure
  • Obstructive sleep apnea of child
  • Obstructive sleep apnea syndrome
  • Severe pediatric obstructive sleep apnea

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Apnea, apneic(of) (spells)
      • newborn
        • sleep
          • primary
            • obstructive

Clinical ClassificationClinical

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

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

Clinical InformationClinical

  • Hypercapnia

    a clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.

  • Obstructive Sleep Apnea Syndrome

    a disorder characterized by recurrent episodic disruptions of breathing during sleep. it is caused by the intermittent relaxation of pharyngeal muscles leading to the narrowing or complete blockage of the upper airway. this results in compensatory arousal from sleep to breathe again. an anatomically narrow airway from body habitus or enlarged pharyngeal structures may also predispose to obstruction. clinical presentation usually includes snoring, daytime sleepiness, difficulty concentrating and fatigue. clinical course may progress to chronic hypoxemia with cardiovascular and cerebrovascular sequelae.

Code History & ChangesHistory

Replacement P28.32 replaces the following previously assigned code(s):

  • P28.3 - Primary sleep apnea of newborn
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P28.32Overview

Is P28.32 (Primary sleep apnea of newborn) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report primary obstructive sleep apnea of newborn on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.