2026 ICD-10-CM Diagnosis Code P28.42Obstructive apnea of newborn

ICD-10-CM Codes›P00–P96›P19-P29›P28

ICD-10-CM P28.42
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

P28.42 is a billable ICD-10-CM diagnosis code for obstructive 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 neonatal obstructive sleep apnea. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory perinatal condition.

Code Identity

ICD-10-CM Code
P28.42
Billable Status
Yes — Valid for Submission
Code Describes
Obstructive apnea of newborn
Short Description
Obstructive apnea of newborn
Same as the full description in the CMS dataset.
Parent Code
P28.4
Other 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 CodeP28.42Obstructive apnea of newborn

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Neonatal obstructive sleep apnea
  • Obstructive apnea of newborn

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
        • obstructive
    • Newborn(infant) (liveborn) (singleton)
      • apnea
        • 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

Code History & ChangesHistory

Replacement P28.42 replaces the following previously assigned code(s):

  • P28.4 - Other 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 P28.42Overview

Is P28.42 (Other apnea of newborn) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report obstructive 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.