P28.4
Non-Billable

Other apnea of newborn

Non-Billable / Non-Specific Code

What is Other apnea of newborn?

ICD-10-CM P28.4 is the diagnosis code for Other apnea of newborn. This code falls under the section "Respiratory and cardiovascular disorders specific to the perinatal period" within Chapter 16 — Certain conditions originating in the perinatal period (P00-P96). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for P28.4

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in P28.4. If the patient has both, code each condition separately:

  • primary sleep apnea of newborn (P28.3-)

ICD-10-CM Code Hierarchy

Understanding where P28.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 5 entries
P28.40Unspecified apnea of newbornBillableP28.41Central neonatal apnea of newbornBillableP28.42Obstructive apnea of newbornBillableP28.43Mixed neonatal apnea of newbornBillableP28.49Other apnea of newbornBillable
Related Codes

Frequently Asked Questions

Is P28.4 a billable ICD-10-CM code?

No, P28.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does P28.4 mean?

P28.4 is the ICD-10-CM diagnosis code for "Other apnea of newborn". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of P28.4?

The parent code of P28.4 is P28 ("Other respiratory conditions originating in the perinatal period"). P28.4 provides a more specific classification within this category.

What section is P28.4 in?

P28.4 is located in Section P19-P29 — "Respiratory and cardiovascular disorders specific to the perinatal period" within Chapter 16 of the ICD-10-CM Tabular List.

What are the sub-codes of P28.4?

P28.4 has 5 sub-code(s) that provide more specific detail: P28.40, P28.41, P28.42, P28.43, P28.49.

When should I use P28.4?

Use P28.4 when the patients documented diagnosis matches "Other apnea of newborn" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other apnea of newborn?

The ICD-10-CM code for Other apnea of newborn is P28.4.

Can P28.4 be used for primary diagnosis?

No, P28.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is P28.4 in?

P28.4 is in Chapter 16 of the ICD-10-CM Tabular List.

Is P28.4 valid for 2026?

Yes, P28.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousP28.39Other primary sleep apnea of newbornNext →P28.40Unspecified apnea of newborn
Code Details
P28.4
Other apnea of newborn
Non-Billable / Non-Specific Code
16 — Certain conditions originating in the perinatal period (P00-P96)
P19-P29 — Respiratory and cardiovascular disorders specific to the perinatal period
2026 ICD-10-CM