Other respiratory conditions originating in the perinatal period (P28)

ICD-10 codes in the P28 category cover a range of respiratory conditions that originate in the perinatal period, focusing on newborns experiencing breathing difficulties such as atelectasis, apnea, cyanotic attacks, and respiratory failure. These codes uniquely identify specific neonatal respiratory issues for accurate clinical documentation and billing.

This section includes codes for various types of atelectasis like primary atelectasis of newborn (P28.0) and other forms including unspecified (P28.10) and resorption atelectasis (P28.11). Synonyms such as perinatal atelectasis and pulmonary hypoplasia associated with short gestation help clarify that these codes are used when lung collapse or incomplete lung expansion occurs in newborns. Additionally, codes for different apnea types; central, obstructive, and mixed (P28.31-P28.43); are included with synonyms like infantile apnea and sleep apnea of newborn, guiding coders to distinguish primary sleep apnea from other apneas. The code for cyanotic attacks (P28.2) relates to episodes of newborn skin and mucous membrane cyanosis, sometimes referred to as blue baby syndrome. The section further covers respiratory failure (P28.5) and critical events like respiratory arrest (P28.81) in newborns. The unspecified codes (P28.9, P28.10, P28.40) allow documentation when detailed diagnosis is unavailable.

Using the ICD-10 code for respiratory conditions originating in the perinatal period ensures precise classification of neonatal respiratory disorders, facilitating appropriate care and reimbursement while distinguishing between diverse conditions like perinatal atelectasis, neonatal apnea, and respiratory failure.

Instructional Notations

Code Also

A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.

  • , if applicable, congenital malformations of the respiratory system Q30 Q34

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Cyanosis

A bluish or purplish discoloration of the skin and mucous membranes due to an increase in the amount of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.

Hydrothorax

A collection of watery fluid in the pleural cavity. (Dorland, 27th ed)

Hypercapnia

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

Middle Lobe Syndrome

Atelectasis of the right middle pulmonary lobe, with chronic pneumonitis. (Dorland, 27th ed)

Mouth Breathing

Abnormal breathing through the mouth, usually associated with obstructive disorders of the nasal passages.

Pleural Cavity

Paired but separate cavity within the THORACIC CAVITY. It consists of the space between the parietal and visceral PLEURA and normally contains a capillary layer of serous fluid that lubricates the pleural surfaces.

Pleural Effusion

Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.

Pleural Effusion, Malignant

Presence of fluid in the PLEURAL CAVITY as a complication of malignant disease. Malignant pleural effusions often contain actual malignant cells.

Xerostomia

Decreased salivary flow.