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P22.8 ICD-10-CM Code: Other respiratory distress of newborn

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Certain conditions originating in the perinatal period (P00-P96) / Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)

P22.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other respiratory distress of newborn

Breathing difficulties in a newborn that do not fit into the standard categories of respiratory distress syndrome or transient tachypnea.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
P22Respiratory distress of newborn
P22.8Other respiratory distress of newborn

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for P22.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for P22.8 in this effective period.

Related Child Codes

Official
P22.0Respiratory distress syndrome of newborn
P22.1Transient tachypnea of newborn
P22.9Respiratory distress of newborn, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for P22.8 in this effective period.

Excludes 1

Official
  • respiratory arrest of newborn (P28.81)
  • respiratory failure of newborn NOS (P28.5)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for P22.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for P22.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for P22.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code for other specified respiratory distress conditions; always document the specific type of respiratory distress in the medical record
Ensure more specific codes (P22.0, P22.1) have been ruled out before assigning this code

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is P22.8 an HCC code?

No. P22.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
P22.8
Description
Other respiratory distress of newborn
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

P22.8 is the ICD-10-CM diagnosis code for other respiratory distress of newborn. Breathing difficulties in a newborn that do not fit into the standard categories of respiratory distress syndrome or transient tachypnea. P22.8 sits in the ICD-10-CM chapter for certain conditions originating in the perinatal period (p00-p96), within the section covering respiratory and cardiovascular disorders specific to the perinatal period (p19-p29).

P22.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code for other specified respiratory distress conditions; always document the specific type of respiratory distress in the medical record.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for P22.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for other specified respiratory distress conditions; always document the specific type of respiratory distress in the medical record
  • Ensure more specific codes (P22.0, P22.1) have been ruled out before assigning this code

Excludes 1, Do NOT code together

  • respiratory arrest of newborn (P28.81)
  • respiratory failure of newborn NOS (P28.5)

Child Codes

Code Hierarchy

Work P22.8 in HCC Buddy

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